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Clinton Wattenberg, RD

NPI 1942580501 · on the registry since 2011 · sole proprietor

Practice

Address
949 E State St
Ithaca, NY 14850
Phone
(607) 227-9344

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133VN1004X
133VN1006X
390200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York