Individual
SOPHIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD, RD
Contact information
Practice address
1802 CROTONA AVE, BRONX, NY 10457-6621
(917) 607-3312
Mailing address
1802 CROTONA AVE, BRONX, NY 10457-6621
(917) 607-3312
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86153022
TX
Other
Enumeration date
01/06/2020
Last updated
04/01/2024
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