Organization
IRENE M. NICOLAIDES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE M NICOLAIDES R.D. (REGISTERED DIETITIAN)
(516) 499-7090
Entity
Organization
Contact information
Practice address
4616 BELMONT ROAD, GREAT NECK, NY 11020
(516) 499-7090
(516) 499-7009
Mailing address
2318 31ST STREET, SUITE 320, ASTORIA, NY 11105
(516) 499-7090
(516) 799-7009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005735.1
NY
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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