Organization
MY ISLAND NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN STENGEL RDN (DIETITIAN)
(516) 287-0364
Entity
Organization
Contact information
Practice address
107 SPRUCEWOOD DR, LEVITTOWN, NY 11756-3813
(516) 287-0364
Mailing address
107 SPRUCEWOOD DR, LEVITTOWN, NY 11756-3813
(516) 287-0364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
07/14/2022
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