Organization · Type 2 NPI
South Fork Medical Associates PC
Registered Dietitian · Southampton, NY
Practice location
238 Old Town Road
Southampton, NY 11968
Fax (631) 283-5731
Mailing address
PO Box 2340
Southampton, NY 11969-2340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Surgery Physician | 208600000X | None listed |
Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…
About NPI 1144288077
South Fork Medical Associates PC's National Provider Identifier is 1144288077, issued on May 2, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Southampton, NY. The record was last updated on Sep 11, 2025.