Individual
MRS. DIANA CUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
85 COLD SPRING RD, SYOSSET, NY 11791-3142
(516) 695-4005
Mailing address
85 COLD SPRING RD, SYOSSET, NY 11791-3142
(516) 695-4005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
864056
NY
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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