Individual
MS. MARYBETH AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN, FAND
Contact information
Practice address
491 LEXINGTON AVE, MOUNT KISCO, NY 10549-4307
(914) 844-8743
(845) 278-0530
Mailing address
491 LEXINGTON AVE, MOUNT KISCO, NY 10549-4307
(914) 844-8743
(845) 278-0530
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
849120
NY
Other
Enumeration date
08/30/2006
Last updated
02/27/2017
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