Individual
STEPHANIE M KNOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 E MAPLE AVE, NEWARK, NY 14513-1845
(315) 331-1700
Mailing address
9 KATHLYN AVE, PHELPS, NY 14532-9712
(315) 331-1700
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
005003
NY
Other
Enumeration date
03/15/2007
Last updated
10/23/2014
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