Massillio, Maryann Felicia

Massillio, Maryann Felicia is an individual health care provider with primary practice located at 75 Crystal Run Rd Ste 201 , Middletown NY 10941-7010. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Massillio, Maryann Felicia can be contacted via phone (845) 692-4391.

Contact Information

Primary practice address
75 Crystal Run Rd Ste 201 Middletown NY 10941-7010
Phone: (845) 692-4391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1750874079
LBN Legal business name Massillio, Maryann Felicia
Credentials MPS,RDN,CDN,FAND
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2018
Last updated Jun 11th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750874079 NPPES
New York Other 390200000X NUTRITIONIST

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