Provider Demographics
NPI:1871322248
Name:POIRIER, DAWN C (RD)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:C
Last Name:POIRIER
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 1:15 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-3121
Mailing Address - Country:US
Mailing Address - Phone:718-344-8112
Mailing Address - Fax:
Practice Address - Street 1:15 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-3121
Practice Address - Country:US
Practice Address - Phone:718-344-8112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered