Individual
MADISON R GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1 SAINT ANDREWS LN, GLEN COVE, NY 11542-2221
(516) 219-9732
Mailing address
936 FLINT CT, VALLEY COTTAGE, NY 10989-2604
(845) 659-7879
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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