Individual
MRS. SALLY HAWANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
120 W 106TH ST, NEW YORK, NY 10025-3923
(212) 870-5000
Mailing address
120 W 106TH ST, NEW YORK, NY 10025-3923
(646) 293-3382
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86149675
NY
Other
Enumeration date
09/10/2021
Last updated
09/25/2021
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