Individual
MR. RENALD PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDN
Contact information
Practice address
187 VAN PELT AVE, STATEN ISLAND, NY 10303-2410
(718) 448-0363
(718) 448-0363
Mailing address
187 VAN PELT AVE, STATEN ISLAND, NY 10303-2410
(718) 448-0363
(718) 448-0363
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
04260
NY
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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