Individual
PATRICIA D ENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4965 S EAGLE VILLAGE RD, MANLIUS, NY 13104-9459
(315) 395-6412
Mailing address
4965 S EAGLE VILLAGE RD, MANLIUS, NY 13104-9459
(315) 395-6412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006294-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15864
DIETETIC REGIS. NUMBER
MD
Enumeration date
01/27/2006
Last updated
05/06/2008
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