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Individual

PHYLICIA RUGGIERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN, CNSC

Contact information

Practice address
55 CUTTERMILL RD, GREAT NECK, NY 11021-3259
(516) 751-5736
(516) 740-0285
Mailing address
183 LINCOLN AVE, ISLAND PARK, NY 11558-1833
(516) 375-1278

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009310
NY

Other

Enumeration date
01/25/2023
Last updated
01/25/2023
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