Individual
MAUREEN BERICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-8820
Mailing address
40 LOCUST ST, AUBURN, NY 13021-5426
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86008669
NY
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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