Individual
KIMBERLY M. DE LILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-4190
Mailing address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-4190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007701
NY
Other
Enumeration date
04/24/2013
Last updated
10/12/2022
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