Provider Demographics
NPI:1013534866
Name:MIRAGLIA, MEGAN LEE (MS, RD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEE
Last Name:MIRAGLIA
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 TAPPAN LANDING RD APT 56D
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-4831
Mailing Address - Country:US
Mailing Address - Phone:585-734-7934
Mailing Address - Fax:
Practice Address - Street 1:14 TAPPAN LANDING RD APT 56D
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-4831
Practice Address - Country:US
Practice Address - Phone:585-734-7934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-28
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered