Individual
MAUREEN MCKEON-SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1219
(641) 444-1933
(631) 444-7248
Mailing address
27 LANIER LN, BAY SHORE, NY 11706-7825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2600
NY
174400000X
Specialist
—
—
Other
Enumeration date
12/27/2006
Last updated
09/29/2023
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