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Individual
STEVEN RYAN SURICO
Active
Individual
STEVEN RYAN SURICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, CDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011086
NY
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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