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Individual

AMELIA TI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDN

Contact information

Practice address
130 W KINGSBRIDGE RD RM 1C-328, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
66 SAINT NICHOLAS AVE APT 4D, NEW YORK, NY 10026-2956
(408) 505-2363

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86054552
NY

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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