Provider Demographics
NPI:1346512068
Name:DI CARLO, APHRODITE FIORELLA (RD)
Entity Type:Individual
Prefix:MS
First Name:APHRODITE
Middle Name:FIORELLA
Last Name:DI CARLO
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 1:357 E 57TH ST
Mailing Address - Street 2:14TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-759-7110
Mailing Address - Fax:212-759-7713
Practice Address - Street 1:357 EAST 57TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2907
Practice Address - Country:US
Practice Address - Phone:212-759-7110
Practice Address - Fax:212-759-7113
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1047138133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered