National Provider Identifier

Alexander Leritz, RDN/RD

Alexander Leritz, RDN/RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Elmira, NY and a listed phone number of (607) 795-2820.

NPI 1518684141Elmira, NYRegistered Dietitian

Profile Overview

NPI
1518684141
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
October 25, 2022
Last Updated
October 25, 2022

Practice Location

  • 600 Roe Ave Ste 1G
  • Elmira, NY 14905-1629

Phone: (607) 795-2820

Mailing Address

  • 1213 W Water St Apt B
  • Elmira, NY 14905-2025

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1518684141
Entity Type
Individual
Last Name
Leritz
First Name
Alexander
Credential
RDN/RD
Provider Other Last Name
Salisbury
Provider Other First Name
Alexander
Provider Other Credential Text
RDN/RD
Provider Other Last Name Type Code
1
Mailing Street Address
1213 W Water St Apt B
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-2025
Mailing Country
US
Practice Street Address
600 Roe Ave Ste 1G
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 795-2820
Enumeration Date
October 25, 2022
Last Updated
October 25, 2022
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
October 25, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)