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Michelle Burch, RD

Dietitian, Registered in New Hyde Park, NY. Individual provider (NPI-1).

NPI number1982243457
StatusActive
Last updated in NPPESAug 4, 2022

Details

NPI
1982243457
Entity type
Individual (NPI-1)
Name
Michelle Burch
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 2, 2020
Certification date
Aug 4, 2022
Last updated
Aug 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered86049262–Yes
133N00000X Nutritionist008909NY

Practice location

2001 Marcus Ave Ste W290
New Hyde Park, NY 11042-1098

Phone 516-465-5255

Mailing address

2001 Marcus Ave Ste W290
New Hyde Park, NY 11042-1098

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