Individual
MISS LANE MICHELLE DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
525 E 68TH ST, BOX #92, NEW YORK, NY 10065-4870
(212) 746-1011
(212) 746-9456
Mailing address
1 COLUMBUS PL, N 49C, NEW YORK, NY 10019-8201
(415) 264-1775
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006700
NY
Other
Enumeration date
05/06/2009
Last updated
11/11/2010
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