Organization
RESTORE & ELEVATE NUTRITION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COELLO MS RD CDN (AUTHORIZED OFFICIAL)
(631) 809-8727
Entity
Organization
Contact information
Practice address
49 ARIZONA AVE, SYOSSET, NY 11791-3101
(631) 809-8727
Mailing address
49 ARIZONA AVE, SYOSSET, NY 11791-3101
(631) 809-8727
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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