Individual
DEBRA WALDOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
811 PLAINFIELD LN, VALLEY STREAM, NY 11581-3608
(718) 316-1320
Mailing address
811 PLAINFIELD LN, VALLEY STREAM, NY 11581-3608
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
922421
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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