Individual
CHRISTINE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE, CDN
Contact information
Practice address
21 W 2ND ST, RIVERHEAD, NY 11901-2752
(631) 740-9330
(631) 207-8414
Mailing address
21 W 2ND ST, RIVERHEAD, NY 11901-2752
(631) 740-9330
(631) 207-8414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002315-1
NYS CDN LICENCE
NY
Enumeration date
12/27/2014
Last updated
01/04/2019
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