Individual
SUSAN F MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 34TH ST, 11TH FLOOR, NEW YORK, NY 10001-2320
(212) 273-6519
Mailing address
53 CENTRAL AVE, CALDWELL, NJ 07006-4803
(973) 615-3108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005689-1
NY
174400000X
Specialist
—
—
Other
Enumeration date
12/27/2006
Last updated
10/04/2012
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