Individual
THERESA CANTILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 708-2500
(516) 708-2580
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
709611
NY
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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