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Contact Information

LEAH M MARK, MS, RD, CDN, CPT
44 GREEN ST STE 2
HUNTINGTON, NY11743-3393
 Phone: 516-806-0045
 Fax: 516-861-0061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for LEAH M MARK · (Female)

NPI # 1275040842
Status Active
Credentials MS, RD, CDN, CPT
Entity Individual
Enumeration date 01/04/2018
Last updated 05/09/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 008091
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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