Individual
KARISSA SUZANNE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
300 CADMAN PLZ W, BROOKLYN, NY 11201-3229
(212) 828-7473
Mailing address
565 PROSPECT PL APT 7E, BROOKLYN, NY 11238-4275
(203) 479-2859
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
010936
NY
133V00000X
Registered Dietitian
Primary
86169602
CT
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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