Doctor Name: | ROSY MCCANN |
NPI Number: | 1497170120 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 68423105 |
Business Practice Address: | 305 W Grand Ave Suite 500 Montvale, NJ - 076451813 |
Business Phone Number: | 2013918282 |
Business Fax Number: | 2013918299 |
Mailing Address: | 305 W Grand Ave, Suite 500 MONTVALE |
State: | NJ |
Postal Code: | 076451813 |
Phone Number: | 2013918282 |
Fax Number: | 2013918299 |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 68423105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |