Provider Demographics
NPI:1235394008
Name:RISSETTO, VANESSA M (RD)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:M
Last Name:RISSETTO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 CLINTON ST
Mailing Address - Street 2:4F
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2885
Mailing Address - Country:US
Mailing Address - Phone:212-729-6513
Mailing Address - Fax:
Practice Address - Street 1:711 CLINTON ST
Practice Address - Street 2:3D
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2885
Practice Address - Country:US
Practice Address - Phone:212-729-6513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education