Individual
MRS. SUSAN S BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
554 CONNOR RD # A, WEST POINT, NY 10996-1208
(845) 446-4077
Mailing address
554 CONNOR RD # A, WEST POINT, NY 10996-1208
(845) 446-4077
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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