Individual
MRS. MELISSA NICOLE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN, CDE
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2121
Mailing address
233 W WALNUT ST # 2F, LONG BEACH, NY 11561-3246
(631) 943-7517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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