DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RENA MARIE RICCARDI, MS, RD, CDE

Active Sole Proprietor

RENA MARIE RICCARDI, MS, RD, CDE is a Metabolic Nutrition healthcare provider located in SUFFERN, New York. NPI 1962988543 is currently active in the NPPES registry. Verify at CMS.

Metabolic Nutrition · SUFFERN, NY

Registration Details

NPI Number
1962988543
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2018 (8.1096457146374 yrs)
Last Updated
Jul 17, 2018
Licenses
724462
724462 (NY)
217003387 (NY)
Sole Proprietor
Yes

Practice Information

Address
255 LAFAYETTE AVE
SUFFERN, NY, 109014869
Browse NY providers · Browse ZIP 10901
Phone
9147721005
Fax
8455473357
Primary Specialty
Metabolic Nutrition
133VN1006X
Additional Specialty
Health Educator
Additional Specialty
Obesity Medicine (Pediatrics)
Additional Specialty
Pediatric Endocrinology
Additional Specialty
Assisted Living Facility
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.