Individual
STEPHANIE COELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CDN
Contact information
Practice address
49 ARIZONA AVE, SYOSSET, NY 11791-3101
(631) 809-8727
Mailing address
49 ARIZONA AVE, SYOSSET, NY 11791-3101
(631) 809-8727
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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