Individual
GEORGINA HIGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
207 N 1ST ST, BETHPAGE, NY 11714-2127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86021562
NY
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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