| Doctor Name: | HEATHER A. ANGELILLO |
| NPI Number: | 1205029956 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,CDN |
| License Number: | 006302 |
| Business Practice Address: | 140-15 Sanford Ave. Flushing, NY - 11355 |
| Business Phone Number: | 7186706400 |
| Business Fax Number: | 7186706479 |
| Mailing Address: | 1000 Zeckendorf Blvd, GARDEN CITY |
| State: | NY |
| Postal Code: | 115302133 |
| Phone Number: | 5165426880 |
| Fax Number: | 5165425556 |
| NPI Enumeration Date: | 08/24/2007 |
| NPI Last Update Date: | 12/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 006302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |