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NPI Code Detail

MEDICARE: APRYLHAZLE STEPP MS, RDN

MEDICARE: APRYLHAZLE STEPP MS, RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86357681NY

General Provider Information

NPI Number : 1861235038
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRYLHAZLE STEPP MS, RDN
Provider Business Mailing Address
First Line : 155 WASHINGTON ST APT 1511
Second Line :
City : NEWARK
State : NJ
Zip : 07102-3223
Country : US
Telephone Number : 619-300-2199
Fax Number :
Provider Business Practice Location Address
First Line : 155 WASHINGTON ST APT 1511
Second Line :
City : NEWARK
State : NJ
Zip : 07102-3223
Country : US
Telephone Number : 619-300-2199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2024
Last Update Date : 06/17/2024

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