Individual
MRS. MIRIAM MELISSA MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RD, CDN
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 761-9794
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 761-9794
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
007328
NY
133V00000X
Registered Dietitian
Primary
007328
NY
Other
Enumeration date
10/15/2012
Last updated
02/08/2024
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