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Contact Information

MARY A STOCKHAUSER, MS, RD, CDN
917 NEWPORT RD
UTICA, NY13502
 Phone: 315-572-0877
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARY A STOCKHAUSER · (Female)

NPI Number 1689216038
Status Active
Credentials MS, RD, CDN
Entity Individual
Enumeration date 10/16/2019
Last updated 10/16/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 009596
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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