Individual
MRS. ALICIA KORDA SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, CDN
Contact information
Practice address
311 E 72ND ST APT 16C, NEW YORK, NY 10021-5255
(650) 575-5233
Mailing address
311 E 72ND ST APT 16C, NEW YORK, NY 10021-5255
(650) 575-5233
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86103527
NY
Other
Enumeration date
06/09/2021
Last updated
09/25/2024
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