Individual
MARILYN KONEZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
2655 RIDGEWAY AVE, SUITE 220, ROCHESTER, NY 14626-4296
(585) 368-4560
(585) 368-4565
Mailing address
2655 RIDGEWAY AVE, SUITE 220, ROCHESTER, NY 14626-4296
(585) 368-4560
(585) 368-4565
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00330263
MEDICARE RAILROAD
NY
Enumeration date
07/21/2006
Last updated
03/12/2019
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