Individual provider · NPI-1

Christina Diana, RDN

Dietitian, Registered · Babylon, NY

NPI number1306139241
StatusActive
Last updated in NPPESFeb 3, 2021

Details

NPI
1306139241
Entity type
Individual (NPI-1)
Name
Christina Diana
Credential
RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
May 25, 2011
Certification date
Feb 3, 2021
Last updated
Feb 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes
133V00000X Dietitian, Registered007402-1NY

Practice location

421 Deer Park Ave
Babylon, NY 11702-2313

Phone 631-941-1028 · Fax 631-941-1010

Mailing address

Po Box 1559
Stony Brook, NY 11790-0989

Phone 631-941-1028 · Fax 631-941-1010

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