Most Relevant Information
Provider Data
| NPI Number: | 1003016890 |
| Provider Name: | DARCI SUSAN WEISSBROT RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2007 |
| Last Updated: | 07/20/2007 |
Provider Practice Location
189 WHEATLEY RD
GLEN HEAD
NY
115452641
Practice Location Phone/Fax
| Phone: | 5166261000 |
| Fax: |
Provider Mailing Location
972 PARK LN
VALLEY STREAM
NY
115812742
Provider Mailing Phone/Fax
| Phone: | 5166552105 |
| Fax: |