| 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 |
|---|---|
| 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 |