Individual
LISA MUSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 296-4905
Mailing address
801 HIGBIE LN, WEST ISLIP, NY 11795-1207
(516) 318-7428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
708817
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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