Individual
MR. MATTHEW PISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
2475 SAINT RAYMONDS AVE, BRONX, NY 10461-3124
(718) 430-4386
(718) 822-0592
Mailing address
18 DROVER RD, BROOKFIELD, CT 06804-3507
(203) 313-1803
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10128554
CT
Other
Enumeration date
08/17/2009
Last updated
11/03/2010
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