MEDICARE: SUZI KARAMACOSKI RDN

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	86293541

General Provider Information

NPI Number	:	1720911845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZI KARAMACOSKI RDN

Provider Business Mailing Address
First Line	:	524 E 20TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-1302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	524 E 20TH ST APT 11D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-1308
Country	:	US
Telephone Number	:	219-671-9617
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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