Individual
MILDRED E. MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSA.,RDE.,CDN
Contact information
Practice address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 960-1010
(718) 960-1011
Mailing address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 960-1010
(718) 960-1011
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
004275
NY
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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