Individual
MISS SARA MADTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
3016 30TH DR STE 1B, ASTORIA, NY 11102-1890
(516) 287-9719
Mailing address
340 DEMOTT AVE, ROCKVILLE CENTRE, NY 11570-1807
(516) 287-9719
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86002087
NY
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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