MS. Susan Ann Nichols, MS,RD,CDE,CDN

NPI #1578772844 in Washingtonville, New York

Provider Information

NPI Number: 1578772844
Entity Type: Individual
Name: MS. Susan Ann Nichols, MS,RD,CDE,CDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS,RD,CDE,CDN
Enumeration Date: May 22, 2007
Last Updated: Jun 11, 2012

Practice Location

Address: 6 ESSEX CT
City: Washingtonville
State: New York
ZIP Code: 10992-1365
Phone: (845) 497-7496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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