Individual
SUSAN CARRIE HOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
805860
Contact information
Practice address
75 EDMUND ST, LYNBROOK, NY 11563-1824
(515) 816-2555
Mailing address
75 EDMUND ST, LYNBROOK, NY 11563-1824
(516) 816-2555
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48 000148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48 000148
CERTIFIED DITITIAN NUTRITIONIST
NY
Enumeration date
05/05/2010
Last updated
05/05/2010
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