Individual
MS. POONEH RADMARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1104
(516) 669-0508
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
(516) 669-0508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1008636
NY
Other
Enumeration date
08/25/2015
Last updated
07/15/2020
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