Individual
MORGANA RUSSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
17 E 13TH ST APT 4D, NEW YORK, NY 10003-4490
(917) 566-3080
Mailing address
17 E 13TH ST APT 4D, NEW YORK, NY 10003-4490
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86265124
NY
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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