Marina Chuprik, MS, RDN, CDN

Individual provider Active NPI Registered Dietitian · Orangeburg, NY

NPI 1902676802 · NPPES record last updated Jan 3, 2024

Key facts

NPI
1902676802
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
985303
Practice address
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone
(845) 680-5950
NPI assigned
Jan 3, 2024
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007177-01NYMDNutritionist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 007177-01 NY
Registered Dietitian 133V00000X 985303 Yes

Addresses

Primary practice location

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Mailing address

16 Linda CT
Laurence Harbor, NJ 08879-2918
Phone (212) 810-7652

Other providers in Orangeburg, NY

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

Sources for this page

Verify at the official NPI Registry.