Organization
HIS RHEMA NUTRITION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL OYEWOLE ADEYEYE PHD, MPH, RD, CDN (DIRECTOR)
(718) 569-5168
Entity
Organization
Contact information
Practice address
9050 PARSONS BLVD STE 304, JAMAICA, NY 11432-6052
(718) 569-5168
(718) 569-5164
Mailing address
9050 PARSONS BLVD., SUITE 304, JAMAICA, NY 11432-6052
(718) 569-5168
(718) 569-5164
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
005445
NY
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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