Individual
MEREDITH I LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD, CDN
Contact information
Practice address
525 E 68TH ST, B24, NEW YORK, NY 10065-4870
(212) 746-4180
Mailing address
525 E 68TH ST, B24, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001942
NY
Other
Enumeration date
11/26/2007
Last updated
02/09/2024
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