Individual
ERICK THEO GRIGOLEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
117 MILLER AVE, FLORAL PARK, NY 11001-3324
(516) 398-1648
Mailing address
117 MILLER AVE, FLORAL PARK, NY 11001-3324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86346872
NY
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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