Individual
MS. MARYALICE LAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5131
Mailing address
219 E 85TH ST APT 3RW, NEW YORK, NY 10028-3065
(917) 825-7307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005710
NY
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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