Individual provider · Type 1 NPI

Nicole Concannon, RDN

Registered Dietitian · Oyster Bay, NY

NPI number 1790606424 Active

Practice location

54 Woodland Dr
Oyster Bay, NY 11771-4108

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1790606424

Nicole Concannon, RDN's National Provider Identifier is 1790606424, issued on Jul 21, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Oyster Bay, NY. The record was last updated on Jul 21, 2026.