National Provider Identifier

Mary Jane Oksman, RD CDN CDE

Mary Jane Oksman, RD CDN CDE is listed in the NPPES registry with a primary specialty of Registered Dietitian in Hamburg, NY and a listed phone number of (716) 627-3391.

NPI 1346372265Hamburg, NYRegistered Dietitian

Profile Overview

NPI
1346372265
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
March 09, 2007
Last Updated
July 08, 2007

Practice Location

  • 4200 Lakeshore Road
  • Hamburg, NY 14075-2044

Phone: (716) 627-3391

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1346372265
Entity Type
Individual
Last Name
Oksman
First Name
Mary
Middle Name
Jane
Name Prefix
MS.
Credential
RD CDN CDE
Provider Other Last Name
Ilardo
Provider Other First Name
Mary
Provider Other Middle Name
Jane
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
5
Mailing Street Address
4200 Lakeshore Road
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-2044
Mailing Country
US
Mailing Phone
(716) 627-3391
Practice Street Address
4200 Lakeshore Road
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-2044
Practice Country
US
Practice Phone
(716) 627-3391
Enumeration Date
March 09, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)
Other Identifiers
6503767 (NY, Iha)