Provider Demographics
NPI:1962768234
Name:SFELINIOTIS, NATALIE (RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:SFELINIOTIS
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-1507
Mailing Address - Country:US
Mailing Address - Phone:718-204-9390
Mailing Address - Fax:
Practice Address - Street 1:4021 23RD AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-1507
Practice Address - Country:US
Practice Address - Phone:718-204-9390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1006481133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered