Individual
ELIZABETH M HYDE-DADDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDCES,CDN
Contact information
Practice address
777 LARKFIELD RD, COMMACK, NY 11725-3136
(631) 635-5102
Mailing address
777 LARKFIELD RD, COMMACK, NY 11725-3136
(631) 635-5102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008145
NY
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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