Individual
MRS. SAMINA KALLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.N
Contact information
Practice address
19705 DUNTON AVE, HOLLIS, NY 11423-1407
(516) 606-0580
Mailing address
19705 DUNTON AVE APT 2A, HOLLIS, NY 11423-1407
(516) 606-0580
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006737
NY
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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