Individual
STEFANIE SACKS DEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.N.S, C.D.N
Contact information
Practice address
17 N FARRAGUT RD, MONTAUK, NY 11954-5088
(917) 686-3778
Mailing address
17 N FARRAGUT RD, MONTAUK, NY 11954-5088
(917) 686-3778
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
007511
NY
133NN1002X
Nutrition Education Nutritionist
Primary
007511
NY
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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