Individual
MS. ELVIRA RELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
3754 78TH ST, JACKSON HEIGHTS, NY 11372-6632
(718) 803-0250
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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