Individual
TATIANA CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
167 MADISON AVE RM 205, NEW YORK, NY 10016-5403
(718) 708-0001
Mailing address
167 MADISON AVE RM 205, NEW YORK, NY 10016-5403
(718) 708-0001
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
012094
NY
Other
Enumeration date
10/29/2024
Last updated
04/27/2026
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