Provider Demographics
NPI:1174339980
Name:SCHELLING, VICTORIA M
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:M
Last Name:SCHELLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HY DR
Mailing Address - Street 2:
Mailing Address - City:EAST SCHODACK
Mailing Address - State:NY
Mailing Address - Zip Code:12063-1731
Mailing Address - Country:US
Mailing Address - Phone:518-258-9476
Mailing Address - Fax:
Practice Address - Street 1:35 HY DR
Practice Address - Street 2:
Practice Address - City:EAST SCHODACK
Practice Address - State:NY
Practice Address - Zip Code:12063-1731
Practice Address - Country:US
Practice Address - Phone:518-258-9476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003339133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist