Individual
MRS. PRIYA M MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1223 PLEASANT ST, UTICA, NY 13501-5837
(315) 725-0523
(315) 733-3164
Mailing address
1223 PLEASANT ST, UTICA, NY 13501-5837
(315) 725-0523
(315) 733-3164
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005094-1
NY
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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