Teresa Danyela Weis-schupak R.D., CDN

NPI 1205950698 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1205950698
Gender Female
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
375 BROADWAY
LAWRENCE NY, 11559-1805, US
Phone (516) 295-1186
Fax
Business Location
375 BROADWAY
LAWRENCE NY, 11559-1805, US
Phone (516) 295-1186
Fax
Toxanomy
Taxonomy Code 133V00000X
License State New York
License Number 0005217
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According to our database, Mrs. Teresa Danyela Weis-schupak R.D., CDN NPI is 1205950698, taxonomy code is 133V00000X and license number is 0005217, license state is located at New York. Teresa Danyela Weis-schupak R.D., CDN physically located at 375 Broadway, Lawrence NY, 11559-1805. NPI Number Teresa Danyela Weis-schupak R.D., CDN has the Individual type.

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1205950698 NPI number is provided on an as is basis without warranty of any kind. 1205950698 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Danyela Weis-schupak R.D., CDN are for informational purposes only.