Individual
LAURYN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CPT
Contact information
Practice address
165 W END AVE, NEW YORK, NY 10023-5503
(845) 521-1505
Mailing address
4 HEARTH CT, NEW CITY, NY 10956-5908
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
02/10/2025
Last updated
08/12/2025
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