Individual
KATIE ANNE DOWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NDTR, CLC
Contact information
Practice address
712 OAK NECK RD, WEST ISLIP, NY 11795-3619
(631) 774-1565
Mailing address
712 OAK NECK RD, WEST ISLIP, NY 11795-3619
(631) 210-6362
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
86041153
NY
174N00000X
Lactation Consultant (Non-RN)
Primary
321998
NY
Other
Enumeration date
10/12/2020
Last updated
02/10/2025
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