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Organization

MICHAEL MAHER DIETETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ROBERT MAHER RD, MS, CDN, CSR (OWNER)
(631) 875-0672
Entity
Organization

Contact information

Practice address
282 PARK AVE, MERRICK, NY 11566-2845
(631) 875-0672
Mailing address
282 PARK AVE, MERRICK, NY 11566-2845
(631) 875-0672

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VN1005X
Renal Nutrition Registered Dietitian

Other

Enumeration date
01/10/2024
Last updated
01/10/2024
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