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Individual

MRS. ALISSA LUPU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CDN, CNSC

Contact information

Practice address
1315 YORK AVE, JAY MONAHAN CENTER, NEW YORK, NY 10021-5304
(212) 746-3847
(212) 746-5630
Mailing address
1315 YORK AVE, JAY MONAHAN CENTER, NEW YORK, NY 10021-5304
(212) 746-3847
(212) 746-5630

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
992539
NY

Other

Enumeration date
07/20/2010
Last updated
10/21/2013
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