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Individual

NICOLE LYN HALLISSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
7 BROOK ST, MAHWAH, NJ 07430-1103
(201) 264-2251
(347) 348-0734
Mailing address
45 E END AVE APT 4D, NEW YORK, NY 10028-7980
(201) 264-2251
(347) 348-0734

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008173
NY

Other

Enumeration date
12/07/2019
Last updated
05/27/2025
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