NPI 1508554122 · live from the CMS NPI Registry
Korrine Madison Altieri
Dietitian, Registered in Edgartown, MA. National Provider Identifier 1508554122, active.
NPI record
| NPI | 1508554122 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 19 Edgewood Dr., Edgartown, MA 02539 |
| Practice phone | 914-621-2786 |
| Mailing address | Po Box 3231, Edgartown, MA 02539 |
| Enumerated | May 1, 2023 |
| Last updated | May 1, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86087919 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.