Individual
STEFANIE CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CNSC
Contact information
Practice address
171 E 2ND ST, APT 1, NEW YORK, NY 10009-8063
(917) 853-3015
Mailing address
1641 3RD AVE, APT 7K, NEW YORK, NY 10128-3623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1066577
NY
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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