Individual
MRS. PAOLA ANDREA PUIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, CDE, CD-N
Contact information
Practice address
75 W RAYMOND AVE, ROOSEVELT, NY 11575-1042
(516) 771-0076
(516) 771-0076
Mailing address
75 W RAYMOND AVE, ROOSEVELT, NY 11575-1042
(516) 771-0076
(516) 771-0076
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
836157
NY
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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