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Individual

MICHELLE MOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
525 EAST 68TH STREET, NEW YORK, NY 10065
(212) 746-3520
(212) 746-8577
Mailing address
3 CENTERSHORE RD S, CENTERPORT, NY 11721-1758
(631) 757-1817

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005610-1
NY

Other

Enumeration date
03/29/2007
Last updated
12/11/2008
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