Individual
GERI LYNN WASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,M.A.,C.D.E
Contact information
Practice address
58 VASSAR ST, STATEN ISLAND, NY 10314-6004
(718) 761-1651
Mailing address
58 VASSAR ST, STATEN ISLAND, NY 10314-6004
(718) 761-1651
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
441837
NY
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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