Individual
MISS ALYSSA J MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.H., R.D.
Contact information
Practice address
331 E 12TH ST, NEW YORK, NY 10003-7202
(646) 395-4526
Mailing address
331 E 12TH ST, NEW YORK, NY 10003-7202
(646) 395-4526
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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