Individual
MARYANN FACER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 E MAPLE AVE, NEWARK, NY 14513-1845
(315) 331-1700
(315) 331-1655
Mailing address
2592 LYON RD, NEWARK, NY 14513-9732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0013821
NY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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