Individual
LISA ANGADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
42 CHERRY CT, EAST NORTHPORT, NY 11731-2252
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007304
NY
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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