Most Relevant Information
Provider Data
| NPI Number: | 1003455130 |
| Provider Name: | SOPHIE MARTIN LD, RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86153022 |
Most Important Dates
| Enumeration Date: | 01/06/2020 |
| Last Updated: | 04/01/2024 |
Provider Practice Location
1802 CROTONA AVE
BRONX
NY
104576621
Practice Location Phone/Fax
| Phone: | 9176073312 |
| Fax: |
Provider Mailing Location
1802 CROTONA AVE
BRONX
NY
104576621
Provider Mailing Phone/Fax
| Phone: | 9176073312 |
| Fax: |