Individual
MS. PAMELA GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1869 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 853-3426
Mailing address
3 N HOWELLS POINT RD, BELLPORT, NY 11713-2907
(631) 240-9706
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
0052361
NY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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