Individual
MARY ELIZABETH MITTIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4123
Mailing address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4213
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001875-1
NY
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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