Provider Demographics
NPI:1164262895
Name:RODE, JOYCE (RD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:RODE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6665 KAME WAY
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9675
Mailing Address - Country:US
Mailing Address - Phone:315-247-9408
Mailing Address - Fax:
Practice Address - Street 1:6665 KAME WAY
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9675
Practice Address - Country:US
Practice Address - Phone:315-247-9408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered