Individual
MAIMOUNA FELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D, C.D.N
Contact information
Practice address
369 WASHINGTON AVE, 1A, BROOKLYN, NY 11238-1142
(917) 309-4818
Mailing address
369 WASHINGTON AVE, 1A, BROOKLYN, NY 11238-1142
(917) 309-4818
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
007404
NY
133V00000X
Registered Dietitian
Primary
991852
NY
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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