National Provider Identifier
Maryann Facer
Maryann Facer is listed in the NPPES registry with a primary specialty of Registered Dietitian in Newark, NY and a listed phone number of (315) 331-1700.
Profile Overview
- NPI
- 1023142692
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- March 15, 2007
- Last Updated
- July 08, 2007
Practice Location
- 703 E Maple Ave
- Newark, NY 14513-1845
Phone: (315) 331-1700
Mailing Address
- 2592 Lyon RD
- Newark, NY 14513-9732
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1023142692
- Entity Type
- Individual
- Last Name
- Facer
- First Name
- Maryann
- Mailing Street Address
- 2592 Lyon RD
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9732
- Mailing Country
- US
- Practice Street Address
- 703 E Maple Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1845
- Practice Country
- US
- Practice Phone
- (315) 331-1700
- Practice Fax
- (315) 331-1655
- Enumeration Date
- March 15, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)