Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William N Civitillo, MSRDRDN

Individual provider Registered Dietitian · NPI 1114670338

William N Civitillo, MSRDRDN is a Registered Dietitian in Whitestone, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

1502 146th St
Whitestone, NY 11357-3019
Phone: (718) 309-8718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86109420 (NY)

Record details

NPI number1114670338
Entity typeIndividual (Type 1)
GenderMale
Credentials MSRDRDN
Sole proprietorYes
NPI enumeratedJanuary 28, 2022
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address1502 146th St, Whitestone, NY 11357-3019

Other providers in Whitestone