Individual
LYDIA ROSETTA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN PD
Contact information
Practice address
49 W 127TH ST, NEW YORK, NY 10027-3824
(212) 663-0473
Mailing address
49 W 127TH ST, NEW YORK, NY 10027-3824
(212) 663-0473
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003082
NY
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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