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Individual

SARA PENNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETITIAN

Contact information

Practice address
400 E 54TH ST, NEW YORK, NY 10022-5164
(646) 568-6075
Mailing address
19 CHARMIAN ST, HUNTINGTON STATION, NY 11746-3519
(646) 568-6075

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86023687
NY

Other

Enumeration date
08/19/2016
Last updated
08/19/2016
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