Individual
ANISA YASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD-N
Contact information
Practice address
129 SUNNYSIDE AVE, 2A, BROOKLYN, NY 11207-2010
(571) 234-7439
Mailing address
129 SUNNYSIDE AVENUE, 2A, BROOKLYN, NY 11207
(571) 234-7439
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007783-1
NY
133V00000X
Registered Dietitian
954661
IL
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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