Individual
MRS. PAM R PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSRD, CNSD, CDN
Contact information
Practice address
130 W KINGSBRIDGE RD, JAMES J PETERS VETERAN AFFAIRS MEDICAL CENTER, BRONX, NY 10548
(718) 584-9000
Mailing address
PO BOX 184, 16 WILLOW RD, LINCOLNDALE, NY 10540-0184
(701) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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