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

NICOLE ROSE PETROCELLI, R.D.

Active Sole Proprietor

NICOLE ROSE PETROCELLI, R.D. is a Registered Dietitian healthcare provider located in MILLER PLACE, New York. NPI 1568839421 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · MILLER PLACE, NY

Registration Details

NPI Number
1568839421
Provider Type
Individual
Gender
Female
NPI Issued
Aug 27, 2015 (10.969600509208 yrs)
Last Updated
Aug 27, 2015
Licenses
1057815 (NY)
1057815 (NY)
1057815 (NY)
1057815 (NY)
1057815 (NY)
Sole Proprietor
Yes

Practice Information

Address
24 HERITAGE LN N
MILLER PLACE, NY, 117643316
Browse NY providers · Browse ZIP 11764
Phone
6313277934
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Pediatric Nutrition
Additional Specialty
Renal Nutrition
Additional Specialty
Nutritionist
Additional Specialty
Nutrition, Education

Other Registered Dietitian Providers in MILLER PLACE, NY

Name Credential NPI
JACQUELINE M CATALDI RDN 1710406921
MARCIA MCCUTCHEON 1033771696
SUSANA L DEBBE RDN, MS, MPH 1780282970
KATHERINE ANCONA FRIELINGSDORF MS, RD, CDN, CDCES 1821674607
JACLYN QUERIDO RD 1336881598
MARY CORSO RDN,CDN 1316674310
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.