Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA VALLEJO, RDN
Active Sole ProprietorSAMANTHA VALLEJO, RDN is a Obesity & Weight Management Nutrition healthcare provider located in MEDFORD, New York. NPI 1174298491 is currently active in the NPPES registry. Verify at CMS.
Obesity & Weight Management Nutrition · MEDFORD, NY
Registration Details
- NPI Number
- 1174298491
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2021 (5.0544959518805 yrs)
- Last Updated
- Aug 9, 2021
- Licenses
-
086073674 (NY)086073674
- Sole Proprietor
- Yes
Practice Information
- Address
-
3108 GULL AVEMEDFORD, NY, 117631731Browse NY providers · Browse ZIP 11763
- Phone
- 6312942090
- Primary Specialty
-
Obesity & Weight Management Nutrition
133VN1201X
- Additional Specialty
- Obesity & Weight Management Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.