Individual
MARTHA BELKNAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8626
Mailing address
34 WATERVIEW CT, RIVERHEAD, NY 11901-6312
(631) 269-4649
(631) 544-0403
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006692-1
NY
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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