Individual
MRS. HARUKO OYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, CNSC
Contact information
Practice address
4256 BRONX BLVD STE 9, BRONX, NY 10466-2673
(718) 547-2011
(718) 547-0341
Mailing address
60 RIDGE RD, HARTSDALE, NY 10530-2211
(914) 406-5126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006616-01
NY
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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