Individual
AMY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
39 WASHINGTON SQUARE SOUTH, #1W, NEW YORK, NY 10012
(646) 391-4868
Mailing address
39 1/2 WASHINGTON SQUARE SOUTH, #1W, NEW YORK, NY 10012
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
48005548
NY
Other
Enumeration date
01/08/2007
Last updated
10/07/2008
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