Provider Demographics
NPI:1629460027
Name:PINAMONTI, MEGAN (RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:PINAMONTI
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0989
Mailing Address - Country:US
Mailing Address - Phone:631-638-2027
Mailing Address - Fax:
Practice Address - Street 1:23 S HOWELL AVE
Practice Address - Street 2:SUITE D
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-4445
Practice Address - Country:US
Practice Address - Phone:631-638-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000003787133V00000X
NY008779-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered