MEDICARE: TRIBECA NUTRITION PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1003609108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIBECA NUTRITION PLLC

Provider Business Mailing Address
First Line	:	100 CHURCH ST STE 815
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-2601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHURCH ST STE 815
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-2601
Country	:	US
Telephone Number	:	203-814-7074
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	REBECCA ALCOSSER
Credential	:	RD, CEDS, CDN
Telephone Number	:	203-814-7074

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	12/18/2025

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