Individual
MS. MARY JANE DETROYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
357 E 57TH ST, SUITE 14, NEW YORK, NY 10022-2907
(212) 759-7110
(212) 759-7113
Mailing address
357 E 57TH ST, SUITE 14, NEW YORK, NY 10022-2907
(212) 759-7110
(212) 759-7113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004019-1
NY
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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