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Individual

MARISSA MARTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
18 HARBOR POINTE DR, HAVERSTRAW, NY 10927
(610) 506-8930
Mailing address
18 HARBOR POINTE DR, HAVERSTRAW, NY 10927-2102
(610) 506-8930

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86013223
PA
133V00000X
Registered Dietitian
Primary
DN005713
PA

Other

Enumeration date
08/21/2015
Last updated
08/16/2018
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