Individual
MICHELLE BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2001 MARCUS AVE STE W290, NEW HYDE PARK, NY 11042-1098
(516) 465-5255
Mailing address
2001 MARCUS AVE STE W290, NEW HYDE PARK, NY 11042-1098
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
008909
NY
133V00000X
Registered Dietitian
Primary
86049262
—
Other
Enumeration date
01/02/2020
Last updated
08/04/2022
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