Individual
MS. AMY DICIOCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSO, CD-N
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4553
(203) 384-3578
Mailing address
12 FRONT ST, NEW HAVEN, CT 06513-4305
(860) 490-7312
(203) 384-3578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CT
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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