Individual
MYRNA PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE, BC-ADM
Contact information
Practice address
601 ELMWOOD AVE, BOX 693, ROCHESTER, NY 14642-0001
(585) 275-2901
(585) 273-1288
Mailing address
4 SKYTOP LN, PITTSFORD, NY 14534-1812
(585) 385-1742
(585) 273-1288
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000845-1
NY
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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