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Individual

MRS. SARA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN

Contact information

Practice address
1 GUSTAVE L LEVY PL, 1190 FIFTH AVENUE, NEW YORK, NY 10029-6500
(212) 241-1488
Mailing address
100 JOHN ST APT 3005, NEW YORK, NY 10038-3898
(212) 241-1488

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005995
NY

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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