Lisa Rousso, RD | |
11420 Rockaway Blvd, South Ozone Park, NY 11420-1912 | |
(646) 229-5575 | |
(917) 300-2125 |
Full Name | Lisa Rousso |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 11420 Rockaway Blvd, South Ozone Park, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235385618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 004833 (New York) | Primary |
Mailing Address | Practice Location Address |
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Lisa Rousso, RD 110-11 Queens Blvd #9-d, Forest Hills, NY 11375-6551 Ph: (646) 229-5575 | Lisa Rousso, RD 11420 Rockaway Blvd, South Ozone Park, NY 11420-1912 Ph: (646) 229-5575 |
Shivani Mohabir, Dietitian Medicare: Medicare Enrolled Practice Location: 11723 132nd St, South Ozone Park, NY 11420 Phone: 917-742-9889 | |
Nra Nutritional Consulting Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13124 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 516-567-5176 |