Individual
STACEY L MESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN, CNSC
Contact information
Practice address
725 IRVING AVE, SUITE 504, SYRACUSE, NY 13210-1603
(315) 464-4835
Mailing address
341 WOODBINE AVE, SYRACUSE, NY 13206-3325
(404) 295-2609
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
48-007255
NY
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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