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Individual

SONIA MATHISSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, IBCLC

Contact information

Practice address
3 ERIN CT, MILLWOOD, NY 10546-1004
(914) 450-9304
Mailing address
3 ERIN CT, MILLWOOD, NY 10546-1004

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
815962
NY
174N00000X
Lactation Consultant (Non-RN)
Primary
L-85295
NY

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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