| NPI | 1740321025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ROBERT NEWCOMB Dietitian 585-297-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 885429) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |