New York State Hvddso

NPI #1467691444 in Thiells, New York

Provider Information

NPI Number: 1467691444
Entity Type: Organization
Organization Name: New York State Hvddso
Primary Specialty: Dietitian, Registered
Enumeration Date: Feb 13, 2009
Last Updated: Feb 13, 2009

Practice Location

Address: 11 WILBUR RD
City: Thiells
State: New York
ZIP Code: 10984-7555
Phone: (845) 947-6220

Authorized Official

Name: MS. LUCILLE RITA ACRISH
Title: REGISTERED DIETICIAN
Phone: (845) 947-6220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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