MEDICARE: SOPHIA MARIE ELIZABETH CZARNECKI RD

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	LDN01091	RI

General Provider Information

NPI Number	:	1750983722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA MARIE ELIZABETH CZARNECKI RD

Provider Business Mailing Address
First Line	:	439 BENEFIT ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02903-2934
Country	:	US
Telephone Number	:	401-262-0840
Fax Number	:

Provider Business Practice Location Address
First Line	:	439 BENEFIT ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02903-2934
Country	:	US
Telephone Number	:	401-262-0840
Fax Number	:

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

Provider Enumeration Date	:	11/13/2020
Last Update Date	:	11/13/2020

Similar Medicare Providers

1841644762 — BECC, LLC
Practice Location Address:

439 BENEFIT ST
PROVIDENCE, RI
02903-2934

Practice Phone: 401-262-0841
Practice Fax: 401-489-7620

1548775299 — PROVIDENCE NUTRITION, LLC
Practice Location Address:

439 BENEFIT ST UNIT 1
PROVIDENCE, RI
02903-2934

Practice Phone: 401-262-0841
Practice Fax:

1003382730 — MISS MEGAN NAQUIN MS, RD
Practice Location Address:

439 BENEFIT ST
PROVIDENCE, RI
02903-2934

Practice Phone: 401-262-0841
Practice Fax:

1710658364 — ALLISON MORRISSEY
Practice Location Address:

439 BENEFIT ST
PROVIDENCE, RI
02903-2934

Practice Phone: 781-664-8996
Practice Fax:

1386336303 — ALLISON HALL LICSW
Practice Location Address:

439 BENEFIT ST
PROVIDENCE, RI
02903-2934

Practice Phone: 401-262-0842
Practice Fax:

1316803075 — EDNA ILLEANA GOMEZ DUENAS FNP-C
Practice Location Address:

35 PEMBROKE AVE APT 3R
PROVIDENCE, RI
02908-2934

Practice Phone: 760-625-8508
Practice Fax:

Directions to “ SOPHIA MARIE ELIZABETH CZARNECKI RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.