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Individual

MR. HERMAN MCKIE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, RD

Contact information

Practice address
380 JEFFERSON AVE, BROOKLYN, NY 11221-1002
(646) 406-9616
Mailing address
380 JEFFERSON AVE, BROOKLYN, NY 11221-1002
(646) 406-9616

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
09/10/2009
Last updated
09/10/2009
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