Individual
DESERIA JOSY-ANN HYLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
64 RIDGE ROAD, RIDGE, NY 11961
(631) 924-3254
Mailing address
76 HEYWARD ST, BRENTWOOD, NY 11717
(631) 275-9367
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
956467
NY
Other
Enumeration date
09/14/2009
Last updated
11/20/2009
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