Individual
GRACE EMILY HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDCES
Contact information
Practice address
1783 ROUTE 9 STE 203, HALFMOON, NY 12065-2466
(518) 213-6910
(518) 213-6932
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
008850
NY
133V00000X
Registered Dietitian
008850
NY
133V00000X
Registered Dietitian
86083020
NY
Other
Enumeration date
07/06/2017
Last updated
03/30/2023
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