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Individual

MRS. SHIRA SUSSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN

Contact information

Practice address
380 BUTLER ST, APARTMENT 1, BROOKLYN, NY 11217-3103
(914) 924-3091
Mailing address
380 BUTLER ST, APARTMENT 1, BROOKLYN, NY 11217-3103

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008474
NY

Other

Enumeration date
02/10/2017
Last updated
02/10/2017
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