Individual
DR. SUSAN J VANNUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RD
Contact information
Practice address
315 W 106TH ST APT 3D, NEW YORK, NY 10025-3473
(212) 932-1727
Mailing address
315 W 106TH ST APT 3D, NEW YORK, NY 10025-3473
(212) 932-1727
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
716153
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
716153
ADA
—
Enumeration date
06/06/2009
Last updated
06/06/2009
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