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Contact Information

LAURA CUSACK, MS, RD
245 PAK AVE.
NEW YORK, NY10167
 Phone: 475-529-9139
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LAURA CUSACK · (Female)

NPI Number 1083042394
Status Active
Credentials MS, RD
Entity Individual
Enumeration date 10/23/2013
Last updated 01/24/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 1058541
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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