Individual
MS. MARYANN GALLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.,C.D.N.
Contact information
Practice address
16310 CROSS BAY BLVD., SUITE2, HOWARD BEACH, NY 11414-3227
(917) 763-5777
Mailing address
15828 97TH ST, HOWARD BEACH, NY 11414-3227
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
006502
NY
133V00000X
Registered Dietitian
Primary
911872
NY
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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