Individual
MS. SHABNAM AHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN, CDCES
Contact information
Practice address
2432 GRAND CONCOURSE FL 1, BRONX, NY 10458-5204
(718) 992-7669
Mailing address
1276 FULTON AVE, RM 219, BRONX, NY 10456-3402
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007825-1
NY
133V00000X
Registered Dietitian
0078251
NY
Other
Enumeration date
08/04/2015
Last updated
07/02/2020
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