Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos Fragoso

Individual provider Nutritionist · NPI 1417540436

Carlos Fragoso is a Nutritionist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
8
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Practice location Address checks out

201 E 66th St
New York, NY 10065-6451
Phone: (929) 643-9954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86078721 (NY)
Nutritionist Taxonomy 133N00000X · Licence 86078721 (NY)
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence 86078721 (NY)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X · Licence 86078721 (NY)
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X · Licence 86078721 (NY)
Gerontological Nutrition Registered Dietitian Taxonomy 133VN1101X · Licence 86078721 (NY)
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X · Licence 86078721 (NY)
Sports Dietetics Nutrition Registered Dietitian Taxonomy 133VN1501X · Licence 86078721 (NY)

Record details

NPI number1417540436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2021
Last updated in NPPESNovember 1, 2023
Certification dateSeptember 4, 2023

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