Individual
DIANE PREVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
144 SHERRY ST, EAST ISLIP, NY 11730-2812
(631) 704-6977
Mailing address
144 SHERRY ST, EAST ISLIP, NY 11730-2812
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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