Individual
LISA GANGUZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 1ST AVE, SUITE 4F, NEW YORK, NY 10016-6402
(212) 263-4171
Mailing address
63 N 3RD ST, APARTMENT 315, BROOKLYN, NY 11249-3945
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007960
NY
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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