Individual
MARYROSE AMMIRATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN, CLC
Contact information
Practice address
2 DUBON CT, FARMINGDALE, NY 11735-1031
(631) 210-6362
Mailing address
712 OAK NECK ROAD, WEST ISLIP, NY 11795
(631) 987-8915
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007859-1
NY
174N00000X
Lactation Consultant (Non-RN)
321986
NY
Other
Enumeration date
10/27/2016
Last updated
12/10/2024
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