Individual
MS. ELISA MUNROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
929431
NY
Other
Enumeration date
11/15/2006
Last updated
08/24/2007
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