Individual
STACEY LYNN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, CDN
Contact information
Practice address
505 EAST 70TH STREET, 2ND FLOOR, NEW YORK, NY 10021
(212) 746-1578
(212) 746-8483
Mailing address
504-506 EAST 74TH STREET, 5TH FLOOR, NEW YORK, NY 10021
(212) 249-4061
(212) 249-4659
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
005241
NY
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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