Individual
MS. DENISE STASOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
287 BRIGHTON AVE, HAWTHORNE, NY 10532-1724
(914) 769-2270
(914) 769-7733
Mailing address
287 BRIGHTON AVE, HAWTHORNE, NY 10532-1724
(914) 769-2270
(914) 769-7733
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000144-1
NY
133V00000X
Registered Dietitian
000144-1
NY
Other
Enumeration date
06/07/2007
Last updated
09/11/2025
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