Individual
MRS. AMY CANTERELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Contact information
Practice address
37 RESEARCH WAY, EAST SETAUKET, NY 11733-3465
(631) 444-2700
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2700
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
008243
NY
133NN1002X
Nutrition Education Nutritionist
008243
NY
133V00000X
Registered Dietitian
Primary
008243
NY
Other
Enumeration date
12/11/2014
Last updated
11/03/2016
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