MRS. Susan Claire Perillo, R.D.

NPI #1033319587 in Northport, New York

Provider Information

NPI Number: 1033319587
Entity Type: Individual
Name: MRS. Susan Claire Perillo, R.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Jul 23, 2007
Last Updated: Jul 23, 2007

Practice Location

Address: 79 MIDDLEVILLE RD
City: Northport
State: New York
ZIP Code: 11768-2200
Phone: (631) 261-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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