Most Relevant Information
Provider Data
| NPI Number: | 1003377292 |
| Provider Name: | MARY GRIFFIN RD, CDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/29/2019 |
| Last Updated: | 03/29/2019 |
Provider Practice Location
100 WASHINGTON ST BLDG 1
ELMIRA
NY
149012849
Practice Location Phone/Fax
| Phone: | 6077374940 |
| Fax: | 6077374956 |
Provider Mailing Location
100 WASHINGTON ST BLDG 1
ELMIRA
NY
149012849
Provider Mailing Phone/Fax
| Phone: | 6077374940 |
| Fax: | 6077374956 |