Individual
SUSAN BERMAN-SILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
100 SUNSET DR, NEWARK, NY 14513-1068
(315) 332-2775
Mailing address
100 SUNSET DR, NEWARK, NY 14513-1068
(315) 332-2775
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6048341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522465
DIETETIC REGISTRATION-AMERICAN DIETETIC ASSOCIATION
—
01
—
6048341
CERTIFIED DIETITIAN-NUTRITIONIST
NY
Enumeration date
06/18/2008
Last updated
06/18/2008
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