Individual
MICHELLE MURDOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
625 BELLE TERRE RD, PORT JEFFERSON, NY 11777-2316
(516) 286-3785
Mailing address
58 BAYBERRY DR, SAINT JAMES, NY 11780-2139
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86063303
NY
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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