Provider Demographics
NPI:1609916303
Name:SCIOSCIA, MARIE ELENA (MS, RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:ELENA
Last Name:SCIOSCIA
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W 83RD ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4932
Mailing Address - Country:US
Mailing Address - Phone:212-362-4244
Mailing Address - Fax:212-362-4244
Practice Address - Street 1:482 W 43RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6323
Practice Address - Country:US
Practice Address - Phone:212-563-7001
Practice Address - Fax:212-279-0176
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003572-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered