| NPI | 1275391807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE SHAMLIAN Registered Dietitian 315-430-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 282E00000X | |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |