Individual
MARIA IRAIDA CASTANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
82-68 164TH ST., JAMAICA, NY 11432
(718) 883-3627
(718) 883-6310
Mailing address
33 PALM LANE, WESTBURY, NY 11590
(917) 715-6436
(718) 883-6310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
849369
NY
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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