Individual
TARA LYN CECHNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 CYPRESS ST APT 201, BALLSTON LAKE, NY 12019-1753
(518) 878-5062
Mailing address
80 CYPRESS ST APT 201, BALLSTON LAKE, NY 12019-1753
(518) 878-5062
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
11/22/2024
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