Individual
MS. MIA Y LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1225 44TH ST, BROOKLYN, NY 11219-2080
(347) 746-0453
Mailing address
1162 E 14TH ST, BROOKLYN, NY 11230-4814
(215) 359-6303
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
008462
NY
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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