Individual
MRS. CYNTHIA RICCIUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
16 SARATOGA BRIDGES BLVD, BALLSTON SPA, NY 12020
(518) 587-5747
(518) 583-9607
Mailing address
PO BOX 180, NORTHVILLE, NY 12134
(518) 863-2938
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
873872
NY
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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