Individual
DEBORAH SALVATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
100 NICOLLS ROAD, AMB, L5, STE 7, STONY BROOK, NY 11794-8111
(631) 444-8115
Mailing address
PO BOX 1559, STONY BROOK, NY 11790
(631) 444-8115
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
006756
NY
Other
Enumeration date
08/20/2009
Last updated
02/25/2013
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