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Organization
GREAT NECK DIETITIAN, PLLC
Active
Organization
GREAT NECK DIETITIAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADI SAHIHOLAMAL RD (OWNER)
(646) 406-6912
Entity
Organization
Contact information
Practice address
40 WARWICK RD, GREAT NECK, NY 11023-1662
(646) 406-6912
Mailing address
40 WARWICK RD, GREAT NECK, NY 11023-1662
(646) 406-6912
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
04/27/2025
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