Individual
ELIZABETH TALLERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
365 BOND ST APT B316, BROOKLYN, NY 11231-5165
(716) 587-1470
Mailing address
365 BOND ST APT B316, BROOKLYN, NY 11231-5165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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