William N Civitillo, MS RD RDN
NPI #1114670338 in Whitestone, New York
Provider Information
- NPI Number
- 1114670338
- Entity Type
- Individual
- Name
- William N Civitillo, MS RD RDN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS RD RDN
- Enumeration Date
- Jan 28, 2022
- Last Updated
- Jan 28, 2022
Practice Location
- Address
- 1502 146TH ST
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357-3019
- Phone
- (718) 309-8718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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