MARK ANTHONY DOUBLET

PORT JEFFERSON, NY
NPI1659814077
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  1005065)
Enumeration Date2016-12-03
Last Update Date2016-12-03
Business Address
Mr. MARK ANTHONY DOUBLET R.D., C.D.E.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-2505
Mailing Address
Mr. MARK ANTHONY DOUBLET R.D., C.D.E.
215 WESTVIEW AVE
DEER PARK, NY 11729-6404
Phone number: 516-523-4413
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