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Contact Information

KENNETH V MASSIE, RDN
1930 VETERANS MEMORIAL HWY STE 12
ISLANDIA, NY11749
 Phone: 516-675-6090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KENNETH V MASSIE · (Male)

NPI Number 1972480812
Status Active
Credentials RDN
Entity Individual
Enumeration date 08/20/2025
Last updated 04/01/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 002496-01
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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