Organization
MOHAWK VALLEY NUTRITIONAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYA M MATHEW (OWNER)
(315) 732-9368
Entity
Organization
Contact information
Practice address
2600 ONEIDA ST, UTICA, NY 13501-6311
(315) 732-9368
Mailing address
2600 ONEIDA ST, UTICA, NY 13501-6311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0050941
NY
Other
Enumeration date
09/24/2015
Last updated
01/26/2016
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