Provider Demographics
NPI:1134507809
Name:ALEXANDRA KAPLAN CORWIN
Entity type:Organization
Organization Name:ALEXANDRA KAPLAN CORWIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RD
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN CORWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-693-7191
Mailing Address - Street 1:1055 SAW MILL RIVER RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1045
Mailing Address - Country:US
Mailing Address - Phone:914-693-7191
Mailing Address - Fax:
Practice Address - Street 1:1055 SAW MILL RIVER RD
Practice Address - Street 2:SUITE 208
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1045
Practice Address - Country:US
Practice Address - Phone:914-693-7191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007375133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty