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Individual

NICHOLAS E RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDN, CDN

Contact information

Practice address
65 W 106TH ST APT 3B, NEW YORK, NY 10025-3834
(901) 238-8466
Mailing address
65 W 106TH ST APT 3B, NEW YORK, NY 10025-3834
(901) 238-8466

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86089838
NY

Other

Enumeration date
03/20/2020
Last updated
03/20/2020
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