Healthcare Provider Details

I. General information

NPI: 1538640503
Provider Name (Legal Business Name): KARIN ALEXA ARIAS RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 11/08/2020
Certification Date: 11/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 WESTCHESTER AVE
BRONX NY
10459-3204
US

IV. Provider business mailing address

60 MADISON AVE
NEW YORK NY
10010-1600
US

V. Phone/Fax

Practice location:
  • Phone: 718-320-4466
  • Fax: 718-991-3829
Mailing address:
  • Phone: 212-545-2400
  • Fax: 646-312-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number009395-1
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: