Provider Demographics
NPI:1417125774
Name:BARRATO, NICOLE (RD)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:BARRATO
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 1:86 TIDE MILL TER
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5653
Mailing Address - Country:US
Mailing Address - Phone:203-429-4211
Mailing Address - Fax:203-816-6656
Practice Address - Street 1:544 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5731
Practice Address - Country:US
Practice Address - Phone:203-429-4211
Practice Address - Fax:203-816-6656
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2023-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005869133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered