Healthcare Provider Details

I. General information

NPI: 1003609108
Provider Name (Legal Business Name): TRIBECA NUTRITION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHURCH ST STE 815
NEW YORK NY
10007-2601
US

IV. Provider business mailing address

100 CHURCH ST STE 815
NEW YORK NY
10007-2601
US

V. Phone/Fax

Practice location:
  • Phone: 203-814-7074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: REBECCA ALCOSSER
Title or Position: CEO
Credential: RD, CEDS, CDN
Phone: 203-814-7074