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Individual
MARY E MONTGOMERY
Active
Individual
MARY E MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
007497-01
NY
133V00000X
Registered Dietitian
749701
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
007497
NY
Other
Enumeration date
06/06/2012
Last updated
02/09/2024
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