Individual
MRS. TRACEY GIAMBERTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1211 STEWART AVE STE 100, BETHPAGE, NY 11714-1601
(516) 308-9965
Mailing address
1211 STEWART AVE STE 100, BETHPAGE, NY 11714-1601
(516) 308-9965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01097256
NY
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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