Individual ProviderSydney AntoliniDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address111 Michigan Ave NW, Washington, DC 20010-2916(704) 975-1049PECOS EnrollmentBased on the most recent information from CMS, provider Sydney Antolini does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134705338Provider TypeIndividualFull NameAntolini, SydneyCredentialRDGenderFemaleSole ProprietorNoEnumeration Date3/19/2021Last Updated4/1/2021Contact InformationPractice LocationPractice Address111 Michigan Ave NW, Washington, DC 20010-2916Phone(704) 975-1049FaxUnlisted FaxMailing LocationMailing Address1205 Glynwater Ln, Waxhaw, NC 28173-7574PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted IssuerCode133VN1401XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted Issuer