Provider Demographics
NPI:1548094501
Name:SCHAS CHASKES, MARY BYRD (RD, CDN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:BYRD
Last Name:SCHAS CHASKES
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:BYRD
Other - Middle Name:
Other - Last Name:SCHAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD, CDN
Mailing Address - Street 1:90 SLEEPY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-2325
Mailing Address - Country:US
Mailing Address - Phone:917-806-1506
Mailing Address - Fax:
Practice Address - Street 1:90 SLEEPY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-2325
Practice Address - Country:US
Practice Address - Phone:917-806-1506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT59.002497133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered