Elicia Mcmullen RD

NPI 1225350150 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1225350150
Gender Female
Enumeration Date 02/19/2010
Last Updated 02/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
43 NEW SCOTLAND AVE
ALBANY NY, 12208-3412, US
Phone (518) 262-4999
Fax (518) 262-8374
Business Location
43 NEW SCOTLAND AVE
ALBANY NY, 12208-3412, US
Phone
Fax
Toxanomy
Taxonomy Code 133V00000X
License State New York
License Number 964241
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According to our database, Elicia Mcmullen RD NPI is 1225350150, taxonomy code is 133V00000X and license number is 964241, license state is located at New York. Elicia Mcmullen RD physically located at 43 New Scotland Ave, Albany NY, 12208-3412. NPI Number Elicia Mcmullen RD has the Individual type.

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1225350150 NPI number is provided on an as is basis without warranty of any kind. 1225350150 is maintained by the National Plan & Provider Enumeration System. The contents of Elicia Mcmullen RD are for informational purposes only.