Individual
RELISH RUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8917 239TH ST, BELLEROSE, NY 11426-1181
(347) 322-5631
Mailing address
8917 239TH ST, BELLEROSE, NY 11426-1181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86057167
NY
133VN1005X
Renal Nutrition Registered Dietitian
86057167
NY
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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