Provider Demographics
NPI:1972498459
Name:POWERS, ERIC (RDN)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:POWERS
Suffix:
Gender:M
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:852 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14904-2532
Mailing Address - Country:US
Mailing Address - Phone:607-648-8713
Mailing Address - Fax:607-648-8713
Practice Address - Street 1:852 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14904-2532
Practice Address - Country:US
Practice Address - Phone:607-648-8713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered