Active NPIIndividual providerSole proprietor

Gina Difusco, RD

Dietitian, Registered in Mahopac, New York

NPI Number1073119160
Practice location
20 Ridge Ln, Mahopac, NY 10541-1415
Fax
—
Last updated
November 1, 2023

Gina Difusco is a Dietitian, Registered based in Mahopac, NY. Gina Difusco practices in Mahopac, NY and has the professional credentials of RD. The NPI Number for Gina Difusco is 1073119160 and holds a License No. 86150783. The current practice location address for Gina Difusco is 20 Ridge Ln, Mahopac, NY 10541-1415 and can be reached out via phone at 845-222-8587.

Provider Profile Details

NPI Number
1073119160
Provider Name
Gina Difusco
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
20 Ridge Ln, Mahopac, NY 10541-1415
Phone Number
845-222-8587
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 5, 2020
Last Update Date
November 1, 2023
Certification Date
November 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Ridge Ln
Mahopac, NY 10541-1415
Zip
10541-1415
Phone Number
845-222-8587
Mahopac, NY 10541Get directions →

Provider Business Mailing Address Details

Address
20 Ridge Ln
Mahopac, NY 10541-1415
City
Mahopac
State
NY
Zip
10541-1415
Phone Number
845-222-8587

License Information

Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
86150783
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gina Difusco, RD?

The NPI number of Gina Difusco, RD is 1073119160. It was assigned on December 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Gina Difusco, RD?

Gina Difusco, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed under license number 86150783.

Where does Gina Difusco, RD practice?

The practice location is 20 Ridge Ln, Mahopac, NY 10541-1415. The office can be reached at 845-222-8587 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073119160 directly on the NPPES registry website.

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