Individual
MRS. MARY ALEXIS LUPOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., CDN
Contact information
Practice address
159 JEFFERSON HTS, SUITE D-303, CATSKILL, NY 12414-1237
(518) 821-7161
Mailing address
PO BOX 386, SOUTH CAIRO, NY 12482-0386
(518) 821-7161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
947105
NY
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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