Individual
MS. MICHELLE DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
54 BEACH AVE, LARCHMONT, NY 10538-4003
(914) 834-0483
Mailing address
54 BEACH AVE, LARCHMONT, NY 10538-4003
(914) 834-0483
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002423
NY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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