Individual
SANDRA NOELLE ALFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8626
Mailing address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8626
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002278-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G0871
EMPIRE BLUE CROSS
NY
01
—
70794
VYTRA
NY
01
—
8312424004
CIGNA
NY
01
—
P2634813
OXFORD
NY
Enumeration date
12/18/2006
Last updated
07/08/2007
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