Individual
MRS. MARY C COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-2848
(631) 447-3066
Mailing address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-2848
(631) 447-3066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
876185
NY
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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