Individual
A-RIAN VINCE VICTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN.CDN
Contact information
Practice address
150 W 47TH STREET, PHD, NEW YORK, NY 10036
(775) 413-4135
Mailing address
150 W 47TH STREET, PHD, NEW YORK, NY 10036
(775) 413-4135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86176949
NY
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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