Individual
MS. TRACY L JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1330 SIGSBEE RD, MATTITUCK, NY 11952-3306
(917) 975-4453
Mailing address
1330 SIGSBEE RD, MATTITUCK, NY 11952-3306
(917) 975-4453
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
871107
NY
133V00000X
Registered Dietitian
Primary
807259
NY
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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