Individual
DANIELLE ZANZAROV-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
515 JOHNSON AVE STE 202, BOHEMIA, NY 11716-2671
(631) 627-0703
Mailing address
515 JOHNSON AVE STE 202, BOHEMIA, NY 11716-2671
(631) 627-0703
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS18448
NY
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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