Individual
MARTINE DERIVIERE NAIMOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
107 MIMOSA LN, STATEN ISLAND, NY 10312-1686
(718) 227-2936
Mailing address
107 MIMOSA LN, STATEN ISLAND, NY 10312-1686
(718) 227-2936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86111395
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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