Individual
LAUREN ANTONUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE, CDN
Contact information
Practice address
57 W 57TH ST, SUITE 1211, NEW YORK, NY 10019-2802
(646) 361-6803
Mailing address
57 W 57TH ST, SUITE 1211, NEW YORK, NY 10019-2802
(646) 361-6803
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005262
NY
Other
Enumeration date
01/26/2007
Last updated
01/31/2012
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