Organization · Type 2 NPI
John T Mather Memorial Hospital
Metabolic Nutrition Registered Dietitian · Port Jefferson, NY
NPI number
1265844716
Active
Practice location
625 Belle Terre Rd, Suite 203
Port Jefferson, NY 11777-2316
Fax (631) 686-2503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Metabolic Nutrition Registered Dietitian Primary | 133VN1006X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
Metabolic Nutrition Registered Dietitian: A registered dietitian who achieves specialized competency in metabolic nutrition.
15 other providers at this address
- Advanced Laparoscopic Bariatric and General SurgerySurgery Physician Port Jefferson, NY NPI 1780983395
- North Suffolk Surgical AssocSpecialist Port Jefferson, NY NPI 1447414370
- Arif Ahmad, MDSurgery Physician Port Jefferson, NY NPI 1659313690
- Ashish Agarwala, D.OSurgery Physician Port Jefferson, NY NPI 1982848156
- Dinesh Shukla, MDNeurology Physician Port Jefferson, NY NPI 1033102280
- Ella Rosenbloom, MDEndocrinology, Diabetes & Metabolism Physician Port Jefferson, NY NPI 1811275548
- George C. Petro, MDPsychiatry Physician Port Jefferson, NY NPI 1427040757
- Jessica ArmaniousStudent in an Organized Health Care Education/Training Program Port Jefferson, NY NPI 1326874728
- Katherine Rosangela QuezadaAdult Health Nurse Practitioner Port Jefferson, NY NPI 1952940942
- Michelle Marilyn Craddock, ANPFamily Medicine Physician Port Jefferson, NY NPI 1013182112
- Michelle Murdolo, MS, RD, CDNRegistered Dietitian Port Jefferson, NY NPI 1710644471
- Ryan Fuellbier, PA-CPhysician Assistant Port Jefferson, NY NPI 1477093383
About NPI 1265844716
John T Mather Memorial Hospital's National Provider Identifier is 1265844716, issued on Jun 2, 2014. The primary taxonomy on file is Metabolic Nutrition Registered Dietitian (133VN1006X), and the practice location is in Port Jefferson, NY. The record was last updated on Aug 27, 2014.