National Provider Identifier
Susan M Petersen, RDN
Susan M Petersen, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Romulus, NY and a listed phone number of (315) 651-5965.
Profile Overview
- NPI
- 1427849066
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- May 14, 2025
- Last Updated
- May 14, 2025
Practice Location
- 5101 Kings Corners RD
- Romulus, NY 14541-9750
Phone: (315) 651-5965
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1427849066
- Entity Type
- Individual
- Last Name
- Petersen
- First Name
- Susan
- Middle Name
- M
- Credential
- RDN
- Mailing Street Address
- 5101 Kings Corners RD
- Mailing City
- Romulus
- Mailing State
- NY
- Mailing ZIP Code
- 14541-9750
- Mailing Country
- US
- Mailing Phone
- (315) 651-5965
- Practice Street Address
- 5101 Kings Corners RD
- Practice City
- Romulus
- Practice State
- NY
- Practice ZIP Code
- 14541-9750
- Practice Country
- US
- Practice Phone
- (315) 651-5965
- Enumeration Date
- May 14, 2025
- Last Updated
- May 14, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 14, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)