Individual
FERNANDO IVAN UMANZOR GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
282 W 113TH ST APT 4B, NEW YORK, NY 10026-3328
(202) 465-9997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86275925
NY
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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