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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346365087 | NPPES |
| New York | Other | 850647 | COMM ON DIETETIC REGIS. |
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