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MRS. NICOLE TAPIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1869 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 853-3426
Mailing address
PO BOX 138, GREAT RIVER, NY 11739-0138
(631) 495-7723

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
007342
NY
133V00000X
Registered Dietitian
Primary
1034293
NY

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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