Individual
JULIET MONCLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(917) 745-2042
Mailing address
9315 241ST ST, BELLEROSE, NY 11426-1131
(917) 745-2042
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86085870
NY
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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