Individual
TERASA CRISCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
578 NEW LOUDON RD, LATHAM, NY 12110-4024
(518) 588-6920
Mailing address
22 PHEASANT RIDGE DR, LOUDONVILLE, NY 12211-1524
(518) 588-6920
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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