Individual
LISA RONCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
622 W 168TH ST, HARKNESS PAVILLION 6 TH FLOOR, NEW YORK, NY 10032-3720
(212) 305-6974
Mailing address
622 W 168TH ST, HARKNESS PAVILLION 6 TH FLOOR, NEW YORK, NY 10032-3720
(212) 305-6974
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005470-1
NY
Other
Enumeration date
01/07/2011
Last updated
08/22/2013
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