Individual
HEATHER MARIE FALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5261 GUY YOUNG RD, BREWERTON, NY 13029-9767
(315) 813-3361
Mailing address
5261 GUY YOUNG RD, BREWERTON, NY 13029-9767
(315) 813-3361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101877
NY
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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