Individual
MARTIKA PERRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
1001 WEST ST, CARTHAGE, NY 13619-9776
(315) 493-1000
Mailing address
24346 STATE ROUTE 12, WATERTOWN, NY 13601-5413
(315) 286-6255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010914
NY
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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