Individual
MS. SUSAN ANN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDE,CDN
Contact information
Practice address
6 ESSEX CT, WASHINGTONVILLE, NY 10992-1365
(845) 497-7496
(845) 496-1187
Mailing address
6 ESSEX CT, WASHINGTONVILLE, NY 10992-1365
(845) 497-7496
(845) 496-1187
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000197
NY
Other
Enumeration date
05/22/2007
Last updated
06/11/2012
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