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Individual

LYNN P HILLERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS RD CDN

Contact information

Practice address
76 SOUTHAVEN AVE STE 2, MEDFORD, NY 11763-3745
(631) 343-2024
(631) 343-2024
Mailing address
25 ANDREA LN, WEST SAYVILLE, NY 11796-1515
(631) 343-2024
(631) 343-2024

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006087-1
NY

Other

Enumeration date
09/28/2006
Last updated
06/07/2010
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