Organization
MMC NUTRITION CENTER FPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN CAMMER (DIRECTOR)
(718) 283-8773
Entity
Organization
Contact information
Practice address
4702 FORT HAMILTON PKWY, BROOKLYN, NY 11219-2926
(718) 283-8777
(718) 283-8796
Mailing address
GPO BOX 27369, NEW YORK, NY 10087-7369
(718) 283-8777
(718) 283-8796
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
NY
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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