# ALTON MIFTARI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821701004
- **Gender:** Man
- **Credential:** MS, RD, CDN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | 86175639 | NY | — |
| 133VN1005X | Renal Nutrition Registered Dietitian | 86175638 | NY | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | 86175638 | NY | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | 86175638 | NY | — |
| 133VN1501X | Sports Dietetics Nutrition Registered Dietitian | 86175639 | NY | Yes |

## Other

- **Enumeration date:** 01/03/2023
- **Last updated:** 01/03/2023