Lynne Ann Scalzo, R.D., C.D.N.

Individual provider Active NPI Registered Dietitian · Calverton, NY

NPI 1609945112 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609945112
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
006264-1 (NY)
Practice address
95 Sunwood Dr
Calverton, NY 11933-1011
Phone
(516) 443-4037
Fax
(631) 886-1816
NPI assigned
Nov 7, 2006
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)
No

State licenses

LicenseStateTypeSpecialty
006264-1NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 006264-1 NY Yes

Addresses

Primary practice location

95 Sunwood Dr
Calverton, NY 11933-1011

Mailing address

95 Sunwood Dr
Calverton, NY 11933-1011
Phone (516) 443-4037

Other providers in Calverton, NY

All providers in Calverton, NY · Registered Dietitian in New York

Sources for this page

Verify at the official NPI Registry.