Individual
SALLY-ANN CLEMENTONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
366 BURGHER AVE, APT 1A, STATEN ISLAND, NY 10305-2317
(347) 934-3707
Mailing address
366 BURGHER AVE, APT 1A, STATEN ISLAND, NY 10305-2317
(347) 934-3707
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005343
NY
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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