Individual
ELENI AGRESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
333 GLEN HEAD RD, GLEN HEAD, NY 11545-1947
(347) 256-8792
Mailing address
333 GLEN HEAD RD, GLEN HEAD, NY 11545-1947
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86054748
NY
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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