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Contact Information

ALLISON P BACKER, RDN
1737 N OCEAN AVE STE C&D
MEDFORD, NY11763-2649
 Phone: 631-941-2000
 Fax: 631-941-2010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ALLISON P BACKER · (Female)

NPI # 1497246383
Status Active
Credentials RDN
Entity Individual
Enumeration date 05/25/2018
Last updated 02/16/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 00961324
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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