Provider Demographics
NPI:1588908875
Name:ALBERTI, DIANA STEPHANY (RD)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:STEPHANY
Last Name:ALBERTI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:STEPHANY
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:112-41 QUEENS BLVD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-544-0770
Mailing Address - Fax:718-261-2262
Practice Address - Street 1:112-41 QUEENS BLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-544-0770
Practice Address - Fax:718-261-2262
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1095875133V00000X
NY007737-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered