Individual
MARIE PERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
82 NORTON DR, EAST NORTHPORT, NY 11731-1601
(631) 261-4400
Mailing address
82 NORTON DR, EAST NORTHPORT, NY 11731-1601
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86067255
NY
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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