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Organization
MIFTARI NUTRITION LLC
Active
Organization
MIFTARI NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTON MIFTARI MS, RD, CDN (OWNER/REGISTERED DIETITIAN)
(718) 916-3380
Entity
Organization
Contact information
Practice address
2990 BRIGHTON 12TH ST APT 1D, BROOKLYN, NY 11235-4704
(718) 916-3380
Mailing address
2990 BRIGHTON 12TH ST APT 1D, BROOKLYN, NY 11235-4704
(718) 916-3380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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