Provider Demographics
NPI:1588093785
Name:DELGROSSO, JOSEPH (ND, RD, CDN)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:DELGROSSO
Suffix:
Gender:M
Credentials:ND, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 W COMMERCIAL ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-2150
Mailing Address - Country:US
Mailing Address - Phone:585-678-5095
Mailing Address - Fax:585-698-1585
Practice Address - Street 1:152 W COMMERCIAL ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2150
Practice Address - Country:US
Practice Address - Phone:585-678-5095
Practice Address - Fax:585-698-1585
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1989175F00000X
NY007998133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered