Elizabeth Adrian, RD

Individual provider Active NPI Registered Dietitian · New York, NY

NPI 1487220141 · NPPES record last updated Jun 2, 2021

Key facts

NPI
1487220141
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86109911 (NY)
Practice address
11 E 1St St PH 3
New York, NY 10003-9193
Phone
(516) 695-0772
NPI assigned
Jun 2, 2021
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

State licenses

LicenseStateTypeSpecialty
86109911NYMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86109911 NY Yes

Addresses

Primary practice location

11 E 1St St PH 3
New York, NY 10003-9193

Mailing address

11 E 1St St PH 3
New York, NY 10003-9193
Phone (516) 695-0772

Other providers in New York, NY

All providers in New York, NY · Registered Dietitian in New York

Sources for this page

Verify at the official NPI Registry.