Individual
MISS EMILY DEVENEZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
99 YORKSHIRE BLVD, SYRACUSE, NY 13219-1739
(315) 460-0802
(877) 819-2425
Mailing address
9949 E STEUBEN RD, REMSEN, NY 13438-4139
(315) 315-6336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101321
NY
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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