NPI 1952720724

Samantha Robyn Legault, DTR

Practitioner Registered Dietetic Technician Airmont, NY

Practice location

Address: 222 Route 59 Suite 304, Airmont, NY 10901-5204
Phone: (845) 547-2161
Mailing address: 7316 Coventry CT, Riverdale, NJ 07457-1637

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 1019268 (NJ)

Other Dietetic Technician, Registered providers in New York →

Registry record

NPI: 1952720724
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2014
Record last updated: 9 Apr 2014

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.