Organization
NEW YORK DIETETICS AND NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA MALEEFF (OWNER)
(215) 776-0389
Entity
Organization
Contact information
Practice address
358 VETERANS MEMORIAL HWY STE 10, COMMACK, NY 11725-4326
(516) 441-9013
Mailing address
30 WALTER CT, COMMACK, NY 11725-3602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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