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Individual
STEPHEN DELLA CROCE
Active
Individual
STEPHEN DELLA CROCE
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
006034
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318993601
—
NY
01
—
9739196293
MEDICARE PACID
NY
Enumeration date
06/22/2010
Last updated
01/26/2024
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