Individual
MELISSA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LMP
Contact information
Practice address
1167 NOSTRAND AVE, BROOKLYN, NY 11225-5417
(718) 778-0198
(718) 221-8169
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2439
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006334
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
03/22/2007
Last updated
11/13/2012
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