Individual
MS. ELIZABETH A DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
800 S WILBUR AVE, SYRACUSE, NY 13204-2732
(315) 253-6283
(315) 282-0024
Mailing address
PO BOX 505, JORDAN, NY 13080-0505
(315) 689-3774
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003379-1
NY
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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