Individual
CARYN NISTICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RDN
Contact information
Practice address
153 BEVERLY RD, HUNTINGTON STATION, NY 11746-4522
(631) 425-1578
(631) 425-1578
Mailing address
153 BEVERLY RD, HUNTINGTON STATION, NY 11746-4522
(631) 425-1578
(631) 425-1578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002667-1
NY
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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