Individual
SUSANA L DEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, MS, MPH
Contact information
Practice address
3 ERIE CT, MILLER PLACE, NY 11764-2504
(631) 255-5021
Mailing address
3 ERIE CT, MILLER PLACE, NY 11764-2504
(631) 255-5021
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86111035
NY
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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