Individual
MARIA CAMILA RENGIFO OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(718) 670-5000
Mailing address
14 HERZOG PL APT 1, HICKSVILLE, NY 11801-2864
(516) 813-5318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0102201
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
0102201
NY
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
0102201
NY
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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