Individual
MRS. STEPHANIE JILL CORDARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-5425
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-5425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003684-1
NY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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