Individual
MS. KRISTIN L ELLIS-WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
133 PARK ST, ALICE HYDE MEDICAL CENTER, MALONE, NY 12953-1220
(518) 483-3000
Mailing address
PO BOX 35, WHIPPLEVILLE, NY 12995-0035
(518) 483-3000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005293
NY
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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