Individual
RITA ROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
168 LAUREL AVE, NORTHPORT, NY 11768-3168
(631) 261-8386
Mailing address
311 ASHAROKEN AVE, NORTHPORT, NY 11768-1168
(631) 261-8386
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000197-1
NY
Other
Enumeration date
09/20/2006
Last updated
09/08/2008
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