Berry, Dawn Patricia

Berry, Dawn Patricia is an sole proprietor health care provider with primary practice located at 215 Washington St Suite 108, Watertown NY 13601-3329. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Berry, Dawn Patricia can be contacted via phone (315) 783-6810.

Contact Information

Primary practice address
215 Washington St Suite 108 Watertown NY 13601-3329
Phone: (315) 783-6810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 006277 New York
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 06277 New York

Profile Details

NPI number 1073767075
LBN Legal business name Berry, Dawn Patricia
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2008
Last updated May 13th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073767075 NPPES
New York Other 006377 NYS CERTIFICATION (CERTIFIED DIETITIAN/ NUTRITIONIST)
New York Other 896001 NYS CERTIFICATION (CERTIFIED DIETITIAN/ NUTRITIONIST)

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