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1508113036
MARTHA BELKNAP
SOUTHAMPTON, NY
NPI
1508113036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 006692-1)
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
-- MARTHA BELKNAP RD, CDN
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968-5009
Phone number: 631-726-8626
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Mailing Address
-- MARTHA BELKNAP RD, CDN
34 WATERVIEW CT
RIVERHEAD, NY 11901-6312
Phone number: 631-269-4649
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