Provider Demographics
NPI:1366065435
Name:SALAFIA, MONICA (MS RD CPT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:SALAFIA
Suffix:
Gender:F
Credentials:MS RD CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 KRAMERIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4617
Mailing Address - Country:US
Mailing Address - Phone:518-744-0854
Mailing Address - Fax:
Practice Address - Street 1:978 KRAMERIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4617
Practice Address - Country:US
Practice Address - Phone:518-744-0854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-24
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86026114133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered