MEDICARE: MS. DINA R. D'ALESSANDRO 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

General Provider Information

NPI Number	:	1851837769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DINA R. D'ALESSANDRO RDN

Provider Business Mailing Address
First Line	:	443 E 6TH ST
Second Line	:	APT. 3
City	:	NEW YORK
State	:	NY
Zip	:	10009-6340
Country	:	US
Telephone Number	:	973-865-5461
Fax Number	:

Provider Business Practice Location Address
First Line	:	443 E 6TH ST
Second Line	:	APT. 3
City	:	NEW YORK
State	:	NY
Zip	:	10009-6340
Country	:	US
Telephone Number	:	973-865-5461
Fax Number	:

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

Provider Enumeration Date	:	01/17/2017
Last Update Date	:	01/17/2017

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