Serback, Mariana Olga

Serback, Mariana Olga is an sole proprietor health care provider with primary practice located at 19500 Woodside Dr , Watertown NY 13601-4458. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Serback, Mariana Olga can be contacted via phone (315) 778-9218.

Contact Information

Primary practice address
19500 Woodside Dr Watertown NY 13601-4458
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86050685 New York

Profile Details

NPI number 1003448085
LBN Legal business name Serback, Mariana Olga
Credentials MS, RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2020
Last updated Feb 7th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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