Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Garrett Jon Modlo, MS, RD, CDN

Individual provider Registered Dietitian · NPI 1023391315

Mr. Garrett Jon Modlo, MS, RD, CDN is a Registered Dietitian in Endwell, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

622 Lacey Dr
Endwell, NY 13760-2545
Phone: (607) 321-1135
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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 005584 (NY)

Record details

NPI number1023391315
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RD , CDN
Sole proprietorYes
NPI enumeratedSeptember 22, 2011
Last updated in NPPESSeptember 22, 2011

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