Organization
MS NUTRITIONAL WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAHTAB SOLEIMANZADEH RD, CDN (REGISTERED DIETITIAN)
(516) 851-0401
Entity
Organization
Contact information
Practice address
1129 NORTHERN BLVD STE 404, MANHASSET, NY 11030-3022
(516) 851-0401
(516) 740-0285
Mailing address
1129 NORTHERN BLVD STE 404, MANHASSET, NY 11030-3022
(516) 851-0401
(516) 740-0285
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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