Individual
ROSEMARY ANNE MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS; R.D.; CDN; CDE
Contact information
Practice address
171 W CHESTER ST, KINGSTON, NY 12401-5939
(845) 706-1697
Mailing address
171 W CHESTER ST, KINGSTON, NY 12401-5939
(845) 706-1697
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0000631
NY
133V00000X
Registered Dietitian
Primary
526611
IL
Other
Enumeration date
07/23/2010
Last updated
01/30/2013
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