Individual
MELISSA HOPE GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
5610 2ND AVE, RM 191, BROOKLYN, NY 11220-3599
(718) 630-8611
Mailing address
5610 2ND AVE, RM 191, BROOKLYN, NY 11220-3599
(718) 630-8611
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1108576
NY
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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