Most Relevant Information
Provider Data
| NPI Number: | 1003546573 |
| Provider Name: | MITA DUTTA KOHANSKI RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2022 |
| Last Updated: | 06/16/2022 |
Provider Practice Location
321 GENESEE ST
ONEIDA
NY
134212611
Practice Location Phone/Fax
| Phone: | 3153612028 |
| Fax: |
Provider Mailing Location
321 GENESEE ST
ONEIDA
NY
134212611
Provider Mailing Phone/Fax
| Phone: | 3153612028 |
| Fax: |