Individual
ANTONIA COLARUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, RDN
Contact information
Practice address
1111 AMSTERDAM AVE, IBMIS, BABCOCK BUILDING 4W, NEW YORK, NY 10025-1716
(212) 523-2174
Mailing address
567 76TH ST, BROOKLYN, NY 11209-3306
(917) 930-5863
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717419
NY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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