Active NPIIndividual providerSole proprietor

Rebecca Ettedgui, RD

Dietitian, Registered in New York, New York

NPI Number1083912604
Practice location
622 W 168TH St, New York, NY 10032-3720
Fax
—
Last updated
March 6, 2011

Rebecca Ettedgui is a Dietitian, Registered based in New York, NY. Rebecca Ettedgui practices in New York, NY and has the professional credentials of RD. The NPI Number for Rebecca Ettedgui is 1083912604 and holds a License No. 007135 (NY). The current practice location address for Rebecca Ettedgui is 622 W 168TH St, New York, NY 10032-3720 and can be reached out via phone at 212-305-7151.

Provider Profile Details

NPI Number
1083912604
Provider Name
Rebecca Ettedgui
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
622 W 168TH St, New York, NY 10032-3720
Phone Number
212-305-7151
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 6, 2011
Last Update Date
March 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
622 W 168TH St
New York, NY 10032-3720
Zip
10032-3720
Phone Number
212-305-7151
New York, NY 10032Get directions →

Provider Business Mailing Address Details

Address
10 W 66TH St
18C
New York, NY 10023-6206
City
New York
State
NY
Zip
10023-6206
Phone Number
646-662-7233

License Information

License Number
007135
License State
NY
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca Ettedgui, RD?

The NPI number of Rebecca Ettedgui, RD is 1083912604. It was assigned on March 6, 2011 and is currently active in the NPPES registry.

What is the specialty of Rebecca Ettedgui, RD?

Rebecca Ettedgui, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 007135.

Where does Rebecca Ettedgui, RD practice?

The practice location is 622 W 168TH St, New York, NY 10032-3720. The office can be reached at 212-305-7151 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083912604 directly on the NPPES registry website.

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