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Individual

ERICA BAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
2095 BROADWAY RM 304, NEW YORK, NY 10023-2895
(917) 968-3496
Mailing address
2095 BROADWAY RM 304, NEW YORK, NY 10023-2895
(917) 968-3496

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
874043

Other

Enumeration date
09/13/2019
Last updated
09/13/2019
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