Individual
HANNAH NICOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
28 RING CIR, PORT JEFFERSON STATION, NY 11776-3450
(631) 848-9413
Mailing address
28 RING CIR, PORT JEFFERSON STATION, NY 11776-3450
(631) 848-9413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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