Individual
SURAJ BHAKTA MATHEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
8320 141ST ST APT 1B, BRIARWOOD, NY 11435-1614
(347) 431-6514
Mailing address
8320 141ST ST APT 1B, BRIARWOOD, NY 11435-1614
(347) 431-6514
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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