Provider Demographics
NPI:1639867203
Name:PARLITSIS, NICOLE (MS, RD, CPT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:PARLITSIS
Suffix:
Gender:F
Credentials:MS, RD, CPT
Other - Prefix:
Other - First Name:NICKI
Other - Middle Name:
Other - Last Name:PARLITSIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RD
Mailing Address - Street 1:18 E 23RD ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4405
Mailing Address - Country:US
Mailing Address - Phone:914-224-3332
Mailing Address - Fax:
Practice Address - Street 1:18 E 23RD ST APT 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4405
Practice Address - Country:US
Practice Address - Phone:914-224-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011598133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered