Provider Demographics
NPI:1851113229
Name:ALONZO, AMELIA (MS, RDN, CDN)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:ALONZO
Suffix:
Gender:F
Credentials:MS, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 PLAINS RD
Mailing Address - Street 2:APT E128
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461
Mailing Address - Country:US
Mailing Address - Phone:516-457-4131
Mailing Address - Fax:
Practice Address - Street 1:92 PLAINS RD
Practice Address - Street 2:APT E128
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461
Practice Address - Country:US
Practice Address - Phone:516-457-4131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered