Individual
JULIA SUZANNE WOLOSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
99 YORKSHIRE BLVD, SYRACUSE, NY 13219-1739
(315) 460-0802
Mailing address
39 ANGELS PATH, WEBSTER, NY 14580-2293
(585) 410-3834
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86117321
COMMISSION ON DIETETIC REGISTRATION
NY
Enumeration date
03/09/2022
Last updated
03/09/2022
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