Individual
DEBORAH MARIE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
624 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1020
(518) 382-2200
(518) 347-5007
Mailing address
624 MCCLELLAN ST, SUITE 101, SCHENECTADY, NY 12304-1020
(518) 382-2200
(518) 347-5007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000630-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000630-1
LICENSE #
NY
Enumeration date
10/08/2009
Last updated
10/08/2009
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