Cynthia Carrucciu, R.D.
Individual provider Active NPI Registered Dietitian · Saint James, NY
NPI 1265865190 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1265865190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 600 Moriches Rd
Saint James, NY 11780-3600 - Phone
- (631) 862-6025
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Registered Dietitian | 133V00000X | Yes | ||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X |
Addresses
Primary practice location
600 Moriches Rd
Saint James, NY 11780-3600
Mailing address
600 Moriches Rd
Saint James, NY 11780-3600
Phone (631) 862-6025
Other providers in Saint James, NY
- Charles Alexander Calabrese
- Larissa Camacho
- Erin Nicole Cappelmann
- Carfora Medical Health Wellness PLLC
- Roxanne Gail Carfora
- Samantha Caruso
- Gary Ward Cassidy
- James Joseph Cassin
- Morgan P Catalanotto
- Lisa A Catanzaro
All providers in Saint James, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.