Individual
MRS. ERICA SUSAN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CLC, CDN
Contact information
Practice address
125 WOLF RD STE 212, ALBANY, NY 12205-1221
(518) 417-4260
Mailing address
36 RIDGEWOOD DR, MECHANICVILLE, NY 12118-3222
(518) 534-5770
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008976-01
NY
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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