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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. BEVERLY BLOSSOM HERMALYN, R.D.

Active Sole Proprietor

MS. BEVERLY BLOSSOM HERMALYN, R.D. is a Registered Dietitian healthcare provider located in NORTHPORT, New York. NPI 1437243458 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · NORTHPORT, NY

Registration Details

NPI Number
1437243458
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2006 (19.878589903771 yrs)
Last Updated
Nov 12, 2009
Sole Proprietor
Yes

Practice Information

Address
79 MIDDLEVILE ROAD
NORTHPORT, NY, 11768
Browse NY providers · Browse ZIP 11768
Phone
6312614400
Fax
6312666018
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in NORTHPORT, NY

Name Credential NPI
TERRY ROCHELLE FELDMAN R.D. 1538171939
MRS. MARGARET M ROGAN RD 1437267861
MRS. ROBIN BETH BLOOM R.D. 1043322258
MRS. PATRICIA CONROY RD 1427153287
RITA ROVER R.D. 1578661948
MS. NANCY LYNN DEPALO RD 1184724460
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.