| NPI | 1144943309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WADOLOWSKI Owner/ Registered Dietitian 631-897-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |