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Individual

MRS. SUSANP PROPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3166
Mailing address
217 MARILYNN ST, EAST ISLIP, NY 11730-3305

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
701921

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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