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Individual

MRS. MALISSA GEISSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN, CDE

Contact information

Practice address
100 MANETTO HILL RD STE 205, PLAINVIEW, NY 11803-1311
(516) 736-4086
Mailing address
15 GARDEN CIR, SYOSSET, NY 11791-4802
(516) 364-3609

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005301
NY

Other

Enumeration date
10/10/2017
Last updated
10/10/2017
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