Individual
MS. MARY JANE OKSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN CDE
Contact information
Practice address
4200 LAKESHORE ROAD, HAMBURG, NY 14075-2044
(716) 627-3391
Mailing address
4200 LAKESHORE ROAD, HAMBURG, NY 14075-2044
(716) 627-3391
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0009691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6503767
IHA
NY
Enumeration date
03/09/2007
Last updated
07/08/2007
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