Organization
DIETITIANS OF NORTHERN NEW YORK, PLLC.
Active
Other names
Dietitians of Northern New York
Organization subpart
No
Provider details
NPI number
Authorized official
ETOSHA FARMER MS, RDN, CDCES (OWNER)
(315) 221-4881
Entity
Organization
Contact information
Practice address
415 SHERMAN ST, WATERTOWN, NY 13601-3920
(315) 221-4881
(315) 777-4111
Mailing address
415 SHERMAN ST, WATERTOWN, NY 13601-3920
(315) 221-4881
(315) 777-4111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
11/21/2022
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