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Individual

VICTORIA OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDE, CDN

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4113
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4113

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007988-1
NY
133V00000X
Registered Dietitian
2009028974
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007988-1
NEW YORK LICENSE
NY
01
2009028974
MO LICENSE
MO
Enumeration date
10/06/2010
Last updated
05/20/2014
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