Individual
HEATHER A. ANGELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDN
Contact information
Practice address
140-15 SANFORD AVE., FLUSHING, NY 11355
(718) 670-6400
(718) 670-6479
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006302
NY
Other
Enumeration date
08/24/2007
Last updated
12/17/2012
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