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Individual

MEGAN MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN

Contact information

Practice address
1428 MADISON AVE, FIRST FLOOR, NEW YORK, NY 10029-6508
(212) 241-7803
(212) 241-9467
Mailing address
ONE GUSTAVE LEVY PLACE, BOX 1497, NEW YORK, NY 10029
(212) 241-7803
(212) 860-3316

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007335-1
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
07335-1
NY

Other

Enumeration date
03/01/2012
Last updated
07/09/2013
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