Individual
LYDIA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1546
(516) 437-4167
Mailing address
PO BOX 27842, NEW YORK, NY 10087-7842
(718) 670-1651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002345
NY
Other
Enumeration date
08/17/2006
Last updated
08/27/2007
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