Individual
NICOLE SCARANGELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
114 BENTLEY ST, STATEN ISLAND, NY 10307-1234
(917) 714-2413
Mailing address
114 BENTLEY ST, STATEN ISLAND, NY 10307-1234
(917) 714-2413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011171
NY
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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