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Contact Information

SUSAN A NICHOLS, MS,RD,CDE,CDN
6 ESSEX CT
WASHINGTONVILLE, NY10992-1365
 Phone: 845-497-7496
 Fax: 845-496-1187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for SUSAN A NICHOLS · (Female)

NPI # 1578772844
Status Active
Credentials MS,RD,CDE,CDN
Entity Individual
Enumeration date 05/22/2007
Last updated 06/11/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 000197
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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