Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KRISTIN ANDREA PETRULLO, RD
Active Sole ProprietorPediatric Nutrition · VALHALLA, NY
Registration Details
- NPI Number
- 1851529010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2009 (16.832860811914 yrs)
- Last Updated
- Jun 26, 2009
- License
-
00967836 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
95 BRADHURST AVEVALHALLA, NY, 105951637Browse NY providers · Browse ZIP 10595
- Phone
- 9145927555
- Fax
- 9148316025
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in VALHALLA, NY
| Name | Credential | NPI |
|---|---|---|
| LISA O'DONOVAN | R.D. | 1437552825 |
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.