Organization
EAST END NUTRITION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA MCNEIL RDN, CDN (SOLE MEMBER)
(631) 740-9330
Entity
Organization
Contact information
Practice address
21 W 2ND ST, RIVERHEAD, NY 11901-2752
(631) 740-9330
(631) 207-8414
Mailing address
21 W 2ND ST, RIVERHEAD, NY 11901-2752
(631) 740-9330
(631) 207-8414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008155
NY
Other
Enumeration date
10/04/2014
Last updated
10/04/2014
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