Provider Demographics
NPI:1174398440
Name:CHLOE CERINO NUTRITION, LLC
Entity type:Organization
Organization Name:CHLOE CERINO NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:
Authorized Official - Last Name:CERINO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, CDN, CEDS
Authorized Official - Phone:203-257-6102
Mailing Address - Street 1:326 W MAIN ST STE 209
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2567
Mailing Address - Country:US
Mailing Address - Phone:203-257-6102
Mailing Address - Fax:
Practice Address - Street 1:326 W MAIN ST STE 209
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-2567
Practice Address - Country:US
Practice Address - Phone:203-257-6102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered