Individual
MARY T VANNORTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DCN, RDN
Contact information
Practice address
FLYTE MEDICAL PC, 69 GROVE STREET, NEW CANAAN, CT 06840-5325
(844) 359-8363
Mailing address
SIA MEDICAL PC, 176 E. 71ST STREET, #10B, NY, NY 10021-5159
(201) 778-1126
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
VA
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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