Individual
MARY VIVIAN DYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, CDN
Contact information
Practice address
116 CLINTON ST, REAR OFFICE #2, BROOKLYN, NY 11201-4204
(646) 593-2407
Mailing address
217 1/2 SMITH ST, #2, BROOKLYN, NY 11201-6436
(646) 593-2407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
963080
NY
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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