Individual
MISS INNOCENTIA GIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.D.N
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457
(718) 518-5290
Mailing address
1601 METROPOLITAN AVE, 3C, BRONX, NY 10462
(347) 263-6372
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
005120
NY
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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