Individual
MRS. LAUREN DEGAETANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
215 E 95TH ST, NEW YORK, NY 10128-4077
(121) 299-6800
(121) 242-3312
Mailing address
215 E 95TH ST, NEW YORK, NY 10128-4077
(121) 299-6800
(121) 242-3312
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
006896-1
NY
Other
Enumeration date
01/27/2012
Last updated
01/02/2013
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