Individual
NOEL WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N.
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-2752
Mailing address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86027880
NY
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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