Individual
MALIK TIEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
45 RIVINGTON ST, NEW YORK, NY 10002-1304
(332) 243-1600
Mailing address
201 SCHEMMER ST, BURLINGTON, WI 53105-1833
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86392767
NY
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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