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NPI Code Detail

MEDICARE: COURTNEY J DARSA R.D., C.D.N.

MEDICARE: COURTNEY J DARSA R.D., C.D.N.
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 Dietitian008359NY

General Provider Information

NPI Number : 1982088688
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY J DARSA R.D., C.D.N.
Provider Business Mailing Address
First Line : 16 MADISON SQ W FL 12
Second Line :
City : NEW YORK
State : NY
Zip : 10010-1629
Country : US
Telephone Number : 516-330-0944
Fax Number : 516-407-5377
Provider Business Practice Location Address
First Line : 16 MADISON SQ W FL 12
Second Line :
City : NEW YORK
State : NY
Zip : 10010-1629
Country : US
Telephone Number : 516-330-0944
Fax Number : 516-407-5377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2015
Last Update Date : 07/06/2023

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