Individual
SUSAN JUECHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SUGARHILL RD, NYACK, NY 10960-1741
(915) 582-9593
Mailing address
9 SUGARHILL RD, NYACK, NY 10960-1741
(915) 582-9593
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006211
NON-MEDICARE
NY
Enumeration date
02/05/2021
Last updated
02/05/2021
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