Individual
MARISA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 GALLOWAY RD, WARWICK, NY 10990-1629
(845) 742-3829
Mailing address
33 GALLOWAY RD, WARWICK, NY 10990-1629
(845) 742-3829
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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