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Individual

MRS. IRENE LILA DOLPHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD,CDN

Contact information

Practice address
27 W 23RD ST, 3RD FLOOR, NEW YORK, NY 10010-4202
(347) 421-1876
Mailing address
7835 64TH PL, GLENDALE, NY 11385-6820
(718) 821-1097

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005738
NY

Other

Enumeration date
10/01/2008
Last updated
10/01/2008
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