Individual
ELISSA FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,C.D.N.,C.D.E
Contact information
Practice address
26 RESEARCH WAY, EAST SETAUKET, NY 11733-3526
(631) 444-0528
Mailing address
26 RESEARCH WAY, EAST SETAUKET, NY 11733-3526
(631) 444-0528
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
6855194
NY
133V00000X
Registered Dietitian
Primary
488387
NY
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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