Individual
GINA MARIE LANGIULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
389 FORT SALONGA RD, NORTHPORT, NY 11768-3089
(631) 686-6658
Mailing address
5 ROLLING MEADOW LN, FORT SALONGA, NY 11768-2658
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
86150405
NY
Other
Enumeration date
02/21/2018
Last updated
08/04/2019
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