Individual
ALYSSA DAWN MORANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6492
Mailing address
2039 STRAIGHT PATH, DIX HILLS, NY 11746-7129
(631) 327-0628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86046950
NY
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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