Individual
EMILY JANE MATHIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-4901
Mailing address
202 W 81ST ST APT 5E, NEW YORK, NY 10024-5823
(845) 499-9484
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
010560
NY
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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