Coral C Clarke, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86065331 Issued in NY

Practice address

4446 Main St Ste 100
Snyder, NY 14226-4406

Phone

(716) 464-2508

Fax

(716) 304-2508

NPI assigned

Oct 4, 2017

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: coralclarke@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1508376526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 MAIN ST STE 100",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264406",
            "telephone_number": "716-464-2508",
            "fax_number": "716-304-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 MAIN ST STE 100",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264406",
            "telephone_number": "716-464-2508",
            "fax_number": "716-304-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CORAL",
        "middle_name": "C",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86065331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Stephanie Bongiorno, MS. ED, SAS
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• Hayden Carruth, LCSW-R
• Chiropractic Lifestyle Family Practice PC
• Marcia Louise Courier, OTR
• Kent Crickard, M.D.
• David Paul Croglio, DDS
• Charlotte Kay Culp
• Jessica D'Amore-Przybylak, DC

• Registered Dietitian in Snyder, NY
• Providers in Snyder, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.