Individual
TESS DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
136 MADISON AVE, NEW YORK, NY 10016-6711
(646) 660-5661
Mailing address
858 9TH AVE APT 3F, NEW YORK, NY 10019-4444
(732) 616-9590
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86084593
NY
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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