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Organization

MICHELE L. SEVERINI RD., CDN., LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE LYNN SEVERINI RD., CDN. (REGISTERED DIETITIAN)
(201) 519-9454
Entity
Organization

Contact information

Practice address
326 7TH ST, BROOKLYN, NY 11215-3311
(718) 832-7888
(718) 832-6888
Mailing address
PO BOX 219, JERSEY CITY, NJ 07303-0219
(201) 519-9454

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006343
NJ

Other

Enumeration date
06/04/2009
Last updated
06/04/2009
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