Provider Demographics
NPI:1336670157
Name:NEGLIA, ADENA (MS, RDN, CDN)
Entity Type:Individual
Prefix:
First Name:ADENA
Middle Name:
Last Name:NEGLIA
Suffix:
Gender:F
Credentials:MS, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 E 38TH ST
Mailing Address - Street 2:APT 14 F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2759
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 E 38TH ST
Practice Address - Street 2:APT 14 F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2759
Practice Address - Country:US
Practice Address - Phone:631-921-8407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008078133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered