Organization
NEW YORK STATE HVDDSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCILLE RITA ACRISH (REGISTERED DIETICIAN)
(845) 947-6220
Entity
Organization
Contact information
Practice address
11 WILBUR RD, THIELLS, NY 10984-7555
(845) 947-6220
(845) 947-6220
Mailing address
11 WILBUR ROAD, THIELLS, NY 10984-0470
(845) 947-6220
(845) 947-6240
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002680
NY
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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