Provider Demographics
NPI:1588960744
Name:CHALME, VANESSA (RD)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:
Last Name:CHALME
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 3RD AVE
Mailing Address - Street 2:PH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1978
Mailing Address - Country:US
Mailing Address - Phone:646-641-2004
Mailing Address - Fax:646-641-2004
Practice Address - Street 1:1438 3RD AVE
Practice Address - Street 2:PH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1978
Practice Address - Country:US
Practice Address - Phone:646-641-2004
Practice Address - Fax:646-641-2004
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered