Individual
LEDDY WILMA MEZARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
11835 QUEENS BLVD STE 400, FOREST HILLS, NY 11375-7211
(929) 307-0050
(888) 494-2097
Mailing address
11835 QUEENS BLVD STE 400, FOREST HILLS, NY 11375-7211
(929) 307-0050
(888) 494-2097
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009458-01
NY
Other
Enumeration date
08/22/2021
Last updated
09/22/2021
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