Individual
DOLLY ANN CONKLIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20 WALNUT ST, SUITE B, MONTGOMERY, NY 12549-2230
(845) 457-5555
(845) 457-5556
Mailing address
3298 ROUTE 94, CHESTER, NY 10918-4106
(845) 457-5555
(845) 457-5556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006118
NY
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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