Individual
RACQUEL PRAINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
186 BROADWAY, PORT EWEN, NY 12466-7707
(914) 299-5959
Mailing address
186 BROADWAY, PORT EWEN, NY 12466-7707
(914) 299-5959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86066091
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074688
NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS
NY
01
—
86066091
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
04/02/2024
Last updated
04/02/2024
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