Organization
NUTRID INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA RAFAILOVA R.D. (OWNER)
(917) 498-4211
Entity
Organization
Contact information
Practice address
2900 EAST 29TH STREET APT2F, BROOKLYN, NY 11235
(917) 498-4211
Mailing address
2900 E 29TH ST APT 2F, BROOKLYN, NY 11235-2272
(917) 498-4211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86063482
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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