Individual
JESSICA SUZANNE CASAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 FALCON DR, HAUPPAUGE, NY 11788-1202
(631) 474-6492
Mailing address
48 FALCON DR, HAUPPAUGE, NY 11788-1202
(631) 474-6492
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86092617
NY
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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