Basic Information
| Provider Information | |||||||||
| NPI: | 1386980316 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | O'NEILL | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 345 E 93RD ST APT 17G | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 101285521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4844379298 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 350 CENTRAL PARK W APT 1C | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100258842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4844379298 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2012 | ||||||||
| LastUpdateDate: | 01/20/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 1080646 | PA | Y | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | DN-0000488 | DE | N | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | DN0000488 | DE | N | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.