Individual
STEPHEN DELLA CROCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, CDN
Contact information
Practice address
405 RXR PLZ, UNIONDALE, NY 11556-3811
(800) 741-6638
(866) 610-7443
Mailing address
440 LAKEVIEW RD, BELLMORE, NY 11710-4209
(917) 975-7946
(866) 610-7443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006034
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318993601
—
NY
01
—
9739196293
MEDICARE PACID
NY
Enumeration date
06/22/2010
Last updated
01/26/2024
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