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Individual

ANTOINETTE LIVIOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CNS, LDN

Contact information

Practice address
1087 ROUTE 58 # 1077, RIVERHEAD, NY 11901-2141
(631) 594-8021
(631) 594-7322
Mailing address
1087 ROUTE 58 # 1077, RIVERHEAD, NY 11901-2141
(631) 594-8021
(631) 594-7322

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
12805
NY
133N00000X
Nutritionist
Primary
DX5111
MD

Other

Enumeration date
11/07/2025
Last updated
11/07/2025
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