Individual
KEVIN DEESSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
5945 161ST ST, FLUSHING, NY 11365-1414
(718) 762-3111
(718) 353-6315
Mailing address
5945 161ST ST, FLUSHING, NY 11365-1414
(718) 762-3111
(718) 353-6315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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