Provider Demographics
NPI:1114796224
Name:MACFARLANE, MARIE CECILE (RD)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:CECILE
Last Name:MACFARLANE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 COUNTY ROUTE 8
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12932-2217
Mailing Address - Country:US
Mailing Address - Phone:850-293-7662
Mailing Address - Fax:
Practice Address - Street 1:42 COUNTY ROUTE 8
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:NY
Practice Address - Zip Code:12932-2217
Practice Address - Country:US
Practice Address - Phone:850-293-7662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered