Individual
MS. EMILY MARIE SICINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN
Contact information
Practice address
428 ROUTE 25A BLDG A, MILLER PLACE, NY 11764-2514
(631) 509-5544
Mailing address
17 NORTHFIELD DR, RONKONKOMA, NY 11779-1821
(631) 942-6263
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011098
NY
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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