Individual
MS. MELINDA M. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
(631) 952-4353
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
(631) 952-4353
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6249
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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