Avitabile, Michele

Avitabile, Michele is an sole proprietor health care provider with primary practice located at 65 Cromwell Ave , Staten Island NY 10304-3944. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Avitabile, Michele can be contacted via phone (718) 667-8100.

Contact Information

Primary practice address
65 Cromwell Ave Staten Island NY 10304-3944
Phone: (718) 667-8100
Fax: (718) 667-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 850647 New York

Profile Details

NPI number 1346365087
LBN Legal business name Avitabile, Michele
Credentials MS, RD, CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346365087 NPPES
New York Other 850647 COMM ON DIETETIC REGIS.

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