Individual
MS. SUSAN MCQUILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
130 E 18TH ST, NEW YORK, NY 10003-2416
(347) 784-5070
Mailing address
130 E 18TH ST, NEW YORK, NY 10003-2416
(347) 784-5070
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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