MEDICARE: MELISSA ALESSANDRO MS, RD, 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

General Provider Information

NPI Number	:	1730792748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ALESSANDRO MS, RD, CDN

Provider Business Mailing Address
First Line	:	51 BROADWAY EXT
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-8101
Country	:	US
Telephone Number	:	631-741-4244
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 BROADWAY EXT
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-8101
Country	:	US
Telephone Number	:	631-741-4244
Fax Number	:

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

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	02/10/2026

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