| NPI | 1144940909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA MAGRO Registered Dietitian Nutritionist 631-662-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |