Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARRETT JON MODLO, M.S.,R.D.,C.D.N
Active Sole ProprietorMR. GARRETT JON MODLO, M.S.,R.D.,C.D.N is a Registered Dietitian healthcare provider located in ENDWELL, New York. NPI 1023391315 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · ENDWELL, NY
Registration Details
- NPI Number
- 1023391315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2011 (14.887199522488 yrs)
- Last Updated
- Sep 22, 2011
- License
-
005584 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
622 LACEY DRENDWELL, NY, 137602545Browse NY providers · Browse ZIP 13760
- Phone
- 6073211135
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in ENDWELL, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. HELEN BATTISTI | RD | 1992885651 |
| WENDY K WOLFF | R.D. | 1972818300 |
| LAUREN CASTELLUCCI | RD | 1235897984 |
| MRS. THALIA VITHOULKAS | MS,RD,CDN | 1427840214 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.