Individual
FADHYLLA NAZARETH SABALLOS TERCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
871 PROSPECT AVE, BRONX, NY 10459-3913
(718) 991-0605
Mailing address
871 PROSPECT AVE, BRONX, NY 10459-3913
(718) 991-0605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1108586
NY
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
08/24/2018
Last updated
09/08/2025
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