Individual
MICHAEL ROBERT MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, MS, CDN, CSR
Contact information
Practice address
282 PARK AVE, MERRICK, NY 11566-2845
(631) 875-0672
Mailing address
282 PARK AVE, MERRICK, NY 11566-2845
(631) 875-0672
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010753-01
NY
133VN1005X
Renal Nutrition Registered Dietitian
010753-01
NY
Other
Enumeration date
02/09/2020
Last updated
12/27/2023
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