Individual
CARLOS FRAGOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E 66TH ST, NEW YORK, NY 10065-6451
(929) 643-9954
Mailing address
201 E 66TH ST, NEW YORK, NY 10065-6451
(929) 643-9954
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
86078721
NY
133NN1002X
Nutrition Education Nutritionist
86078721
NY
133V00000X
Registered Dietitian
Primary
86078721
NY
133VN1005X
Renal Nutrition Registered Dietitian
86078721
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
86078721
NY
133VN1101X
Gerontological Nutrition Registered Dietitian
86078721
NY
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
86078721
NY
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
86078721
NY
Other
Enumeration date
02/19/2021
Last updated
11/01/2023
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