Provider Demographics
NPI:1417682089
Name:NAPOLITANO, MARIE CORINNE (MS, RDN, CDN)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:CORINNE
Last Name:NAPOLITANO
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 1:23 MERRIVALE RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1707
Mailing Address - Country:US
Mailing Address - Phone:516-761-5886
Mailing Address - Fax:
Practice Address - Street 1:23 MERRIVALE RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11020-1707
Practice Address - Country:US
Practice Address - Phone:516-761-5886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011067133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered