Individual
TERESA Y INTORCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
1001 WEST ST, CARTHAGE, NY 13619-9703
(315) 493-1005
(315) 493-0038
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-5293
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
002834
NY
Other
Enumeration date
08/17/2007
Last updated
05/17/2017
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