Individual
MS. MARY DOLORES EMMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
222 RICHMOND AVE, BATAVIA, NY 14020-1227
(585) 297-1031
Mailing address
11110 ALEXANDER RD, ATTICA, NY 14011-9426
(585) 591-1878
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
445423
NY
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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