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Individual

MRS. RITA E BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDE

Contact information

Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-6895
Mailing address
385 MALTA AVE, BALLSTON SPA, NY 12020-4003

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005615-1
NY

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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