Individual
AMANDA BUTHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E 32ND ST FL 2, NEW YORK, NY 10016-6004
(516) 639-1870
Mailing address
3160 33RD ST APT A6, ASTORIA, NY 11106-2427
(516) 639-1870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
997167
NY
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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