Individual provider · Type 1 NPI

Marlo Nanci Mittler, MS RD

Pediatric Nutrition Registered Dietitian · Great Neck, NY

NPI number 1194398156 Active

Practice location

173 E Shore Rd
Great Neck, NY 11023-2456

Mailing address

5 Colonial Dr
Smithtown, NY 11787-4212

Other practice locations

  • 5 Colonial Dr, Smithtown, NY 11787-4212 · (516) 857-6465

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X819264 (NY)
Pediatric Nutrition Registered Dietitian 133VN1004X819264 (NY)
Pediatric Nutrition Registered Dietitian Primary 133VN1004X819264 (IL)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

5 other providers at this address

About NPI 1194398156

Marlo Nanci Mittler, MS RD's National Provider Identifier is 1194398156, issued on Jul 19, 2021. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Great Neck, NY. The record was last updated on Jul 19, 2021.