Provider Demographics
NPI:1497997001
Name:TROVATO, CATERINA (RDN,CDCES)
Entity Type:Individual
Prefix:
First Name:CATERINA
Middle Name:
Last Name:TROVATO
Suffix:
Gender:F
Credentials:RDN,CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17415 HORACE HARDING EXPY FL 2
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1527
Mailing Address - Country:US
Mailing Address - Phone:718-762-3111
Mailing Address - Fax:718-357-6315
Practice Address - Street 1:17415 HORACE HARDING EXPY FL 2
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-1527
Practice Address - Country:US
Practice Address - Phone:718-762-3111
Practice Address - Fax:718-357-6315
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001691-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP70034Medicare PIN