Individual
MS. PEGAH JALALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
55 W 25TH ST APT 30J, NEW YORK, NY 10010-2151
(347) 453-5734
Mailing address
55 W 25TH ST APT 30J, NEW YORK, NY 10010-2151
(347) 453-5734
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007903
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
007903
NY
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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