Individual
LEAH M PASQUARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
35 ONTARIO ST, PORT JEFF STA, NY 11776-4345
(631) 655-6205
Mailing address
35 ONTARIO ST, PORT JEFF STA, NY 11776-4345
(631) 655-6205
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006867-01
NY
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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