Individual
MS. SUSAN ROTHSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
285 SILLS RD, BLDG.15, SUITE D, EAST PATCHOGUE, NY 11772-4869
(631) 758-5858
(631) 758-1926
Mailing address
136 WICKS RD, COMMACK, NY 11725-4429
(631) 499-2663
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003273
NY
Other
Enumeration date
05/06/2006
Last updated
07/08/2007
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