Individual
HEIDELIZA B NEIDKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
81 S BROADWAY, YONKERS, NY 10701-4004
(914) 375-3200
Mailing address
81 S BROADWAY, YONKERS, NY 10701-4004
(914) 375-3200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48002898
NY
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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