Individual
ELIZABETH M WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDN
Contact information
Practice address
1270 DEAN ST, NISKAYUNA, NY 12309-5724
(518) 836-5977
(518) 348-4156
Mailing address
1270 DEAN ST, NISKAYUNA, NY 12309-5724
(518) 836-5977
(518) 348-4156
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007507
NY
163WD0400X
Diabetes Educator Registered Nurse
007507
NY
Other
Enumeration date
07/11/2012
Last updated
12/19/2022
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