MEDICARE: MS. MARIE CORINNE NAPOLITANO MS, RDN, CDN

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	011067	NY

General Provider Information

NPI Number	:	1417682089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE CORINNE NAPOLITANO MS, RDN, CDN

Provider Business Mailing Address
First Line	:	23 MERRIVALE RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11020-1707
Country	:	US
Telephone Number	:	516-761-5886
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 MERRIVALE RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11020-1707
Country	:	US
Telephone Number	:	516-761-5886
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	07/19/2022

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