Individual
MICHELE AVITABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
65 CROMWELL AVE, STATEN ISLAND, NY 10304-3944
(718) 667-8100
(718) 667-6280
Mailing address
133 CONNECTICUT ST, STATEN ISLAND, NY 10307-1519
(917) 574-9398
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
850647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850647
COMM ON DIETETIC REGIS.
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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