Provider Demographics
NPI:1811677289
Name:ABRAMYAN SCROZATI, DIANA (RD, CDN)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:ABRAMYAN SCROZATI
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:ABRAMYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CDN
Mailing Address - Street 1:2101 BAY RIDGE PKWY STE 1B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-5946
Mailing Address - Country:US
Mailing Address - Phone:646-257-0727
Mailing Address - Fax:
Practice Address - Street 1:2101 BAY RIDGE PKWY STE 1B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-5946
Practice Address - Country:US
Practice Address - Phone:646-257-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011445133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered