NPI 1154092534

Victoria Lucille Miranda, MSRDCPT

Practitioner Registered Dietitian Bay Shore, NY

Practice location

Address: 250 E Main St, Bay Shore, NY 11706-8442
Phone: (631) 390-7100
Fax: (631) 390-7128

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86066679 (NY)

Other Dietitian, Registered providers in New York →

Registry record

NPI: 1154092534
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2021
Record last updated: 24 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.