Search › New York › 133VN1201X
Samantha Vallejo, RDN
NPI 1174298491 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3108 Gull Ave
Medford, NY 11763 - Phone
- (631) 294-2090
Registry record
- Primary taxonomy
- 133VN1201X
133VN1201X
- Also registered as
- 133VN1201X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York