Individual
ALISON BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, IBCLC
Contact information
Practice address
194 BIRCHWOOD RD, CORAM, NY 11727-3646
(631) 487-9310
Mailing address
194 BIRCHWOOD RD, CORAM, NY 11727-3646
(631) 487-9310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
917149
NY
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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