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Contact Information

NICOLE LONGORIA, DTR, NPTI, NSCA-CPT
1310 WALLACE ST
EDISON, NJ08817-3384
 Phone: 732-754-8308
 Fax: 732-662-9392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietetic Technician, Registered

136A00000X
Indicates primary specialty

NPI Profile & details for NICOLE LONGORIA · (Female)

NPI Number 1720373178
Status Active
Credentials DTR, NPTI, NSCA-CPT
Entity Individual
Enumeration date 06/14/2011
Last updated 06/14/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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