Individual
MARYANNE METZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8233
Mailing address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
11/30/2011
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