Individual
MRS. TANIA MARTINS-BALSAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
17 CONCORD DR, HOLTSVILLE, NY 11742-1008
(631) 338-2602
Mailing address
PO BOX 784, FARMINGVILLE, NY 11738-0784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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