National Provider Identifier
Mary Tierney
Mary Tierney is listed in the NPPES registry with a primary specialty of Registered Dietitian in Ithaca, NY and a listed phone number of (607) 216-8720.
Profile Overview
- NPI
- 1760350565
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- October 24, 2025
- Last Updated
- October 24, 2025
Practice Location
- 12 Knoll Tree RD
- Ithaca, NY 14850-9603
Phone: (607) 216-8720
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1760350565
- Entity Type
- Individual
- Last Name
- Tierney
- First Name
- Mary
- Mailing Street Address
- 12 Knoll Tree RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9603
- Mailing Country
- US
- Practice Street Address
- 12 Knoll Tree RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9603
- Practice Country
- US
- Practice Phone
- (607) 216-8720
- Enumeration Date
- October 24, 2025
- Last Updated
- October 24, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 24, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)