Individual
TAYLOR MARIE FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 MADISON AVE STE 503, NEW YORK, NY 10016-6711
(646) 660-5661
Mailing address
30 W 18TH ST APT 9C, NEW YORK, NY 10011-4671
(925) 628-4015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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