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Individual

ISABELLA HEROLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
97-04 SUTPHIN BOULEVARD, JAMAICA, NY 11435
(718) 657-7088
(718) 657-7092
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009911
NY

Other

Enumeration date
12/09/2019
Last updated
12/09/2019
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