| NPI | 1891941787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BOYEA Registered Dietician 315-345-6803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 005758) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |