Provider Demographics
NPI:1962726497
Name:GALLAND, ELAINE F (RD, CDN, CLC)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:F
Last Name:GALLAND
Suffix:
Gender:F
Credentials:RD, CDN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W 83RD ST
Mailing Address - Street 2:A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4937
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:311 W 83RD ST
Practice Address - Street 2:A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4937
Practice Address - Country:US
Practice Address - Phone:212-595-0756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered