Provider Demographics
NPI:1689498479
Name:BETOS, ALINA GINELLE (RDN)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:GINELLE
Last Name:BETOS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 ELLSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-0033
Mailing Address - Country:US
Mailing Address - Phone:209-298-6404
Mailing Address - Fax:
Practice Address - Street 1:1319 ELLSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-0033
Practice Address - Country:US
Practice Address - Phone:209-298-6404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered