Root Deep Nutrition and Wellness
NPI #1619732914 in Port Jefferson, New York
Provider Information
- NPI Number
- 1619732914
- Entity Type
- Organization
- Organization Name
- Root Deep Nutrition and Wellness
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Feb 15, 2024
- Last Updated
- Feb 15, 2024
Practice Location
- Address
- 646 MAIN ST
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2235
- Phone
- (631) 560-4466
Authorized Official
- Name
- ANNE MARIE BERGGREN, RDN
- Title
- OWNER
- Phone
- (631) 560-4466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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