Individual
MS. TAKUMI KOTAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
462 1ST AVE RM 4018, NEW YORK, NY 10016-9196
(347) 879-2091
(347) 879-2091
Mailing address
3544 34TH ST APT 4D, ASTORIA, NY 11106-1977
(347) 879-2091
(347) 879-2091
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86085367
IL
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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