Individual
SUSANNA CRICCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 CUTTERMILL RD, GREAT NECK PLAZA, NY 11021-3259
(732) 768-1657
Mailing address
100 GARVIES POINT RD UNIT 1342, GLEN COVE, NY 11542-5007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011856-01
NY
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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