Individual
ALICIA ANN PETRACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 PETRACCA PL, WHITESTONE, NY 11357-6000
(516) 500-1790
Mailing address
PO BOX 360, MANHASSET, NY 11030-0360
(516) 500-1790
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011762
NY
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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