Petrocelli, Nicole Rose
Petrocelli, Nicole Rose is an sole proprietor health care provider with primary practice located at 24 Heritage Ln N , Miller Place NY 11764-3316. She recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Petrocelli, Nicole Rose can be contacted via phone (631) 327-7934.Contact Information
Primary practice address
24 Heritage Ln N
Miller Place NY 11764-3316
Phone: (631) 327-7934
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 1057815 | New York |
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | 1057815 | New York |
| Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | 1057815 | New York |
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 1057815 | New York |
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 1057815 | New York |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1057815 | New York |
Profile Details
| NPI number | 1568839421 |
|---|---|
| LBN Legal business name | Petrocelli, Nicole Rose |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2015 |
| Last updated | Aug 27th, 2015 - about 9 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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