Provider Demographics
NPI:1992941223
Name:DI SOMMA, CATHY E (RD,CDN)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:E
Last Name:DI SOMMA
Suffix:
Gender:F
Credentials:RD,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4721
Mailing Address - Country:US
Mailing Address - Phone:914-922-1038
Mailing Address - Fax:914-922-1149
Practice Address - Street 1:28 BROAD AVE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4721
Practice Address - Country:US
Practice Address - Phone:914-922-1038
Practice Address - Fax:914-922-1149
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006148-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered