Provider Demographics
NPI:1730683764
Name:BILSKY, MEREDITH (RDN)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:BILSKY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 RIVERSIDE DR STE 306
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-4197
Mailing Address - Country:US
Mailing Address - Phone:607-584-7042
Mailing Address - Fax:
Practice Address - Street 1:161 RIVERSIDE DR STE 306
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-4183
Practice Address - Country:US
Practice Address - Phone:607-584-7042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009160-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered