Individual
MRS. MELODY COLACINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
311 W 43RD ST, SUITE 1101, NEW YORK, NY 10036-6413
(212) 315-1412
(212) 315-1442
Mailing address
311 W 43RD ST, SUITE 1101, NEW YORK, NY 10036-6413
(212) 315-1412
(212) 315-1442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
966908
NJ
133V00000X
Registered Dietitian
Primary
966908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2693256
UNITED HEALTHCARE
NJ
01
—
7654551
AETNA
NJ
Enumeration date
12/18/2006
Last updated
07/08/2007
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