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Organization
RADICARE, LLC
Active
Organization
RADICARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZARIEL GRULLON RD (REGISTERED DIETITIAN)
(201) 446-1717
Entity
Organization
Contact information
Practice address
2317 BOUCK AVE APT 2B, BRONX, NY 10469-5752
(201) 446-1717
Mailing address
2317 BOUCK AVE APT 2B, BRONX, NY 10469-5752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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