Individual provider · Type 1 NPI

Angela Moore, CDN

Registered Dietitian · Staten Island, NY

NPI number 1689759003 Active

Practice location

256 Mason Ave
Staten Island, NY 10305

Fax (718) 226-1259

Mailing address

One Edgewater Street, Suite 723
Staten Island, NY 10305

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X006032 (NY)

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…

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About NPI 1689759003

Angela Moore, CDN's National Provider Identifier is 1689759003, issued on Oct 25, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.