Healthcare Provider Details

I. General information

NPI: 1396673729
Provider Name (Legal Business Name): ERIN MARIE DUENAS MS, RDN, CDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 1ST ST
RIVERHEAD NY
11901-4602
US

IV. Provider business mailing address

12 1ST ST
RIVERHEAD NY
11901-4602
US

V. Phone/Fax

Practice location:
  • Phone: 631-740-9330
  • Fax: 631-640-9330
Mailing address:
  • Phone: 631-740-9330
  • Fax: 631-640-9330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number013336
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: