Individual
DANIELA CONTRERAS ENCISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5 WOODBINE AVE, BAY SHORE, NY 11706-4307
(631) 418-4125
Mailing address
5 WOODBINE AVE, BAY SHORE, NY 11706-4307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86068773
NY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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