| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DEBORAH HANSEN | 1932970472 | 2024-10-13 |
Deborah Hansen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932970472. Registration indicates Deborah Hansen is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Deborah Hansen RD, CDN |
| Practice Office Address | 12 FLITT ST WEST NYACK, NY US |
| Practice Office Telephone | 8453671976 |
| Mailing Address | 140 OLD ORANGEBURG RD ORANGEBURG, NY 109621157 US |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | 009972-01
NY |