Individual
MS. HEATHER ANNE PERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
38 PARK AVE, IRVINGTON, NY 10533-1319
(914) 591-9162
Mailing address
38 PARK AVE, IRVINGTON, NY 10533-1319
(914) 591-9162
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006138
NY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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