Individual
MARY ELIZABETH DEGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4360
(716) 278-4266
Mailing address
176 B HIGHLAND DRIVE, WILLIAMSVILLE, NY 14221-1235
(716) 957-2285
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
007089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8668370241
—
NY
Enumeration date
12/24/2009
Last updated
10/05/2011
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