Individual
SUSAN M PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5101 KINGS CORNERS RD, ROMULUS, NY 14541-9750
(315) 651-5965
Mailing address
5101 KINGS CORNERS RD, ROMULUS, NY 14541-9750
(315) 651-5965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012754-01
NY
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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