Provider Demographics
NPI:1417391871
Name:MAY, DIANE (MPH, MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:MAY
Suffix:
Gender:F
Credentials:MPH, MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BRADFORD RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7601
Mailing Address - Country:US
Mailing Address - Phone:914-725-2043
Mailing Address - Fax:
Practice Address - Street 1:10 BRADFORD RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-7601
Practice Address - Country:US
Practice Address - Phone:914-725-2043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007723133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered