Individual
ANNIE CUDERA URAG I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2398
(718) 334-5610
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2398
(718) 334-5610
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
002648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002648
DEPARTMENT OF EDUCATION
NY
Enumeration date
05/14/2019
Last updated
03/09/2020
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