Provider Demographics
NPI:1477193308
Name:D'ARIES, ALANNA M (RD, CDN, CNSC)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:M
Last Name:D'ARIES
Suffix:
Gender:F
Credentials:RD, CDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HAIGHT ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-3137
Mailing Address - Country:US
Mailing Address - Phone:631-338-0888
Mailing Address - Fax:
Practice Address - Street 1:275 7TH AVE FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6861
Practice Address - Country:US
Practice Address - Phone:917-870-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered