Individual
MS. AMANDA MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN,CDN,MPH
Contact information
Practice address
1432 5TH AVE, NEW YORK, NY 10035-4521
(646) 289-7727
(646) 289-7793
Mailing address
1432 5TH AVE, NEW YORK, NY 10035-4521
(646) 289-7727
(646) 289-7793
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007105
NY
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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