Individual
MICHAEL J MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, CDN
Contact information
Practice address
1752 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3247
(718) 746-9494
Mailing address
3890 LAUREEN CT, SEAFORD, NY 11783-3231
(516) 639-5258
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010975
NY
Other
Enumeration date
04/20/2022
Last updated
04/21/2022
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