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Individual

IRIS R EPSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.CDN

Contact information

Practice address
978 ROUTE 45 STE 107, POMONA, NY 10970-3512
(845) 362-1300
(914) 352-0325
Mailing address
978 ROUTE 45 STE 107, POMONA, NY 10970-3512
(845) 362-1300
(914) 352-0325

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003101-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01421705
NY
Enumeration date
06/07/2006
Last updated
10/08/2021
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