Individual
LINDA LONERGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 HILL BLVD STE K, YORKTOWN HEIGHTS, NY 10598-1210
(914) 522-0729
Mailing address
39 CORTLANDT MANOR RD, KATONAH, NY 10536-3203
(914) 522-0729
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AHY-866934001
ALLIED HEALTH PROFESSIONAL LIABILITY
—
Enumeration date
05/25/2017
Last updated
05/25/2017
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