Individual
HODA TANTAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
406 HAROLD AVE, STATEN ISLAND, NY 10312-6024
(347) 636-1619
Mailing address
406 HAROLD AVE, STATEN ISLAND, NY 10312-6024
(347) 636-1619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101843
NY
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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