Individual
SAMANTHA AYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2356 CONEY ISLAND AVE, BROOKLYN, NY 11223-5002
(347) 862-8582
Mailing address
2356 CONEY ISLAND AVE, BROOKLYN, NY 11223-5002
(347) 862-8582
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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