| NPI | 1982073987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY P. GRIFFITH-FENTON Clinical Dietitian Supervisor 845-341-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 006912) |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-09-20 |