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Individual

MIA SUGARMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
245 E 63RD ST APT 1111, NEW YORK, NY 10065-7457
(857) 544-5309
Mailing address
55 CENTRE ST, WOODMERE, NY 11598-1304
(857) 544-5309

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
366215410
BELLY
Enumeration date
10/31/2023
Last updated
01/21/2025
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