Organization
NNY HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIM RD (OWNER/DIETITIAN)
(315) 775-8379
Entity
Organization
Contact information
Practice address
21011 STORRS RD, SACKETS HARBOR, NY 13685-3172
(315) 775-8379
Mailing address
21011 STORRS RD, SACKETS HARBOR, NY 13685-3172
(720) 771-6691
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008768
NY
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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