Individual
MS. NANCY LYNN DEPALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
79 MIDDLEVILLE RD, VA MEDICAL CENTER, NORTHPORT, NY 11768
(631) 261-4400
Mailing address
535 RACE PLACE, OAKDALE, NY 11769
(631) 218-9808
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R436861
AMER DIETETIC ASSOC CDR
—
Enumeration date
09/25/2006
Last updated
07/08/2007
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