Destefano, Nicole Rose

Destefano, Nicole Rose is an individual health care provider with primary practice located at 55 Lexington Way , Middletown NY 10940-1607. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Destefano, Nicole Rose can be contacted via phone (845) 926-7592.

Contact Information

Primary practice address
55 Lexington Way Middletown NY 10940-1607
Phone: (845) 926-7592
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1801651591
LBN Legal business name Destefano, Nicole Rose
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2024
Last updated Feb 21st, 2024 - about 2 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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