Individual
MS. MADELEINE GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
71 LOOMIS RD, CHATHAM, NY 12037-9777
(518) 965-2074
Mailing address
71 LOOMIS RD, CHATHAM, NY 12037-9777
(518) 965-2074
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000515-1
NY
Other
Enumeration date
11/09/2006
Last updated
08/19/2009
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