Individual
BELINDA IZEVBIZUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PECONIC ST APT 96A, RONKONKOMA, NY 11779-7124
(646) 737-5854
Mailing address
500 PECONIC ST APT 96A, RONKONKOMA, NY 11779-7124
(646) 737-5854
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7680648UPD
NY
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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