Individual
MRS. MARY K BOCCARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
4900 BROAD RD, HEALTH EDUCATION DEPT, POB SOUTH, SUITE 1F, SYRACUSE, NY 13215-2265
(315) 492-5152
(315) 492-5002
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5152
(315) 492-5002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
918980
NY
Other
Enumeration date
09/25/2006
Last updated
01/19/2010
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