Individual
MS. SUSAN KICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(434) 981-0731
Mailing address
343 E 5TH ST APT B, NEW YORK, NY 10003-8876
(434) 981-0731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
012167
NY
133V00000X
Registered Dietitian
Primary
86265245
—
Other
Enumeration date
03/28/2024
Last updated
07/24/2024
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