Provider Demographics
NPI:1538646179
Name:SFERLAZZA, ANNE (RDN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SFERLAZZA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 ELYSE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3307
Mailing Address - Country:US
Mailing Address - Phone:914-489-7163
Mailing Address - Fax:
Practice Address - Street 1:13 ELYSE DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3307
Practice Address - Country:US
Practice Address - Phone:914-489-7163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1053830133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered