Individual
MRS. MARY K FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
515 MAIN ST, OLEAN, NY 14760-1513
(716) 375-6271
(716) 375-6103
Mailing address
515 MAIN ST, OLEAN, NY 14760-1513
(716) 375-6271
(716) 375-6103
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001890
NY
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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