Individual
MRS. MARA LOCONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
1412 SUNNYSIDE AVE, MAMARONECK, NY 10543-3840
(917) 439-3180
Mailing address
1412 SUNNYSIDE AVE, MAMARONECK, NY 10543-3840
(917) 439-3180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007555
NY
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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