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Individual

MRS. MEREDITH TRACY RADISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN, CDN

Contact information

Practice address
103 WILSON PL, PLAINVIEW, NY 11803-2240
(917) 846-4502
Mailing address
103 WILSON PL, PLAINVIEW, NY 11803-2240
(917) 846-4502

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009624
NY
133VN1005X
Renal Nutrition Registered Dietitian
009624
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
009624
NY
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
009624
NY

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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