Individual
MAEGAN DANIELLE RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN, LMT
Contact information
Practice address
154 W 70TH ST APT 9N, NEW YORK, NY 10023-4497
(914) 656-3094
Mailing address
3421 41ST ST APT 2L, LONG ISLAND CITY, NY 11101-1388
(914) 656-3094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
007985
NY
133V00000X
Registered Dietitian
1023268
TN
225700000X
Massage Therapist
Primary
031340
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
02/06/2014
Last updated
01/07/2021
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