Individual
AVIS HAREWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NT
Contact information
Practice address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
(718) 777-5243
(718) 777-5250
Mailing address
415 E 54TH ST, BROOKLYN, NY 11203-4646
(718) 922-3944
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
004153-1
NY
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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