Individual
LOVE AFONNE AKOBUNDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, CDE
Contact information
Practice address
11102 FARMERS BLVD, SAINT ALBANS, NY 11412-2358
(718) 454-1466
(718) 454-1467
Mailing address
19108 109TH AVE, SAINT ALBANS, NY 11412-1157
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
00711812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113629
HMO
NY
01
—
2958467
HMO
NY
01
—
371813P
HMO
—
01
—
P2695132
HMO
NY
Enumeration date
12/29/2006
Last updated
03/29/2014
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