Individual
DEBRA SIEGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED,RD,CSR,CDN,CDE
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4558
(607) 252-3295
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4558
(607) 252-3295
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003687
NY
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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