Provider Demographics
NPI:1912318569
Name:TEPPER, SARI ELIZABETH (MS, RD)
Entity Type:Individual
Prefix:
First Name:SARI
Middle Name:ELIZABETH
Last Name:TEPPER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 E 26TH ST
Mailing Address - Street 2:APT 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2429
Mailing Address - Country:US
Mailing Address - Phone:216-409-7700
Mailing Address - Fax:
Practice Address - Street 1:228 E 26TH ST
Practice Address - Street 2:APT 2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2429
Practice Address - Country:US
Practice Address - Phone:216-409-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86004495133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered