Antonella Apicella, MS RD CDN

Individual provider Active NPI Registered Dietitian · Williston Park, NY

NPI 1366815474 · NPPES record last updated Nov 11, 2015

Key facts

NPI
1366815474
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
007044 (NY)
Practice address
711 Willis Ave
Unit 3D
Williston Park, NY 11596-1150
Phone
(516) 318-0215
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007044NYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 007044 NY Yes

Addresses

Primary practice location

711 Willis Ave
Unit 3D
Williston Park, NY 11596-1150

Mailing address

711 Willis Ave
Unit 3D
Williston Park, NY 11596-1150
Phone (516) 318-0215

Other providers in Williston Park, NY

All providers in Williston Park, NY · Registered Dietitian in New York

Sources for this page

Verify at the official NPI Registry.