Provider Demographics
NPI:1033209184
Name:RAGERT-FLORES, CHARLOTTE (RD)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:RAGERT-FLORES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E 84TH ST APT 2J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7340
Mailing Address - Country:US
Mailing Address - Phone:646-808-4955
Mailing Address - Fax:212-428-6724
Practice Address - Street 1:80 EAST 11TH STREET, SUITE 606
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:646-808-4955
Practice Address - Fax:212-428-6724
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered