Individual
MRS. ANNEITH GOODEN DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
6736A 186TH LN, FLUSHING, NY 11365-3616
(718) 969-6694
Mailing address
6736A 186TH LN, FLUSHING, NY 11365-3616
(718) 969-6694
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
004155-1
NY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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