Provider Demographics
NPI:1912516972
Name:ASLANIS, SOPHIA (RD, CDN)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:
Last Name:ASLANIS
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:SOPHIA
Other - Middle Name:
Other - Last Name:ASLANIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:57 W 57TH ST STE 900
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2813
Mailing Address - Country:US
Mailing Address - Phone:212-245-0575
Mailing Address - Fax:212-245-6131
Practice Address - Street 1:57 W 57TH ST STE 900
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2813
Practice Address - Country:US
Practice Address - Phone:212-245-0575
Practice Address - Fax:212-245-6131
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005526-1133V00000X, 133VN1004X, 133VN1006X, 133VN1201X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management