Individual
MARISSA TUDOR LIPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
154 W 14TH ST, 4TH FLR, NEW YORK, NY 10011-7307
(646) 784-6865
Mailing address
210 E 14TH ST, APT 3, NEW YORK, NY 10003-4172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
933707
NY
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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