ALYSA FERGUSON

CORAM, NY
NPI1689778847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  0061761)
Enumeration Date2006-09-11
Last Update Date2007-08-27
Business Address
Ms. ALYSA FERGUSON RD CDN
82 MIDDLE COUNTRY RD
CORAM, NY 11727-4411
Phone number: 631-854-2333
Mailing Address
Ms. ALYSA FERGUSON RD CDN
423 GRIFFING AVE STE. 100
RIVERHEAD, NY 11901-3056
Phone number: 631-727-7850
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