Individual
MARIA MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 5TH AVE, HUNTINGTN STA, NY 11746-1648
(631) 404-8812
Mailing address
PO BOX 20833, HUNTINGTN STA, NY 11746-0863
(631) 404-8812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009240
NY
Other
Enumeration date
08/24/2014
Last updated
12/25/2017
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