Individual
MS. MARILYN SUSAN TUCKER-VISELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
140 LOCKWOOD AVE, 107, NEW ROCHELLE, NY 10801-4915
(914) 632-1896
Mailing address
140 LOCKWOOD AVE, 107, NEW ROCHELLE, NY 10801-4915
(914) 632-1896
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
000783-2
NY
Other
Enumeration date
02/17/2008
Last updated
02/17/2008
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