Individual
DEBORAH HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
12 FLITT ST, WEST NYACK, NY 10994-2324
(845) 367-1976
Mailing address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009972-01
NY
Other
Enumeration date
01/12/2024
Last updated
10/13/2024
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