Individual
NICOLE ROSE PETROCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
24 HERITAGE LN N, MILLER PLACE, NY 11764-3316
(631) 327-7934
Mailing address
24 HERITAGE LN N, MILLER PLACE, NY 11764-3316
(631) 327-7934
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1057815
NY
133NN1002X
Nutrition Education Nutritionist
1057815
NY
133V00000X
Registered Dietitian
Primary
1057815
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
1057815
NY
133VN1005X
Renal Nutrition Registered Dietitian
1057815
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
1057815
NY
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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