Individual
ROSITA M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
360 E 193RD ST, BRONX, NY 10458-4710
(718) 933-2400
(718) 329-8441
Mailing address
360 E 193RD ST, BRONX, NY 10458-4710
(718) 933-2400
(718) 329-8441
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000223-1
NY
Other
Enumeration date
06/21/2012
Last updated
06/26/2012
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