Organization
REAL YOU NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE BASLER RDN, CDN (OWNER, REGISTERED DIETITIAN)
(516) 567-9182
Entity
Organization
Contact information
Practice address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
(516) 567-9182
Mailing address
1978 CECELIA PL, SEAFORD, NY 11783-2225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008323
NY
Other
Enumeration date
08/20/2015
Last updated
10/14/2015
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