MRS. Meredith Tracy Radisch, MS, RDN, CDN

NPI #1881262624 in Plainview, New York

Provider Information

NPI Number: 1881262624
Entity Type: Individual
Name: MRS. Meredith Tracy Radisch, MS, RDN, CDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS, RDN, CDN
Enumeration Date: Jun 17, 2021
Last Updated: Jun 17, 2021

Practice Location

Address: 103 WILSON PL
City: Plainview
State: New York
ZIP Code: 11803-2240
Phone: (917) 846-4502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Renal — Nutrition, Renal	133VN1005X
Dietitian, Registered - Nutrition, Metabolic — Nutrition, Metabolic	133VN1006X
Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management	133VN1201X
Dietitian, Registered	133V00000X	Primary

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