Individual
MRS. ANNETTE DAGOSTINO WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
255 LAFAYETTE AVE, NUTRITION SERVICES, SUFFERN, NY 10901-4812
(845) 368-6040
(845) 368-5337
Mailing address
36 WILDWOOD LN, ARDSLEY, NY 10502-1220
(914) 693-2688
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
424927
COMMISSION ON DIETETIC REGISTRATION
NY
Enumeration date
04/15/2010
Last updated
04/15/2010
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