Individual
ELICIA MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-4999
(518) 262-8374
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
964241
NY
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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