Individual
ANASTASIA NEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
1841 BROADWAY RM 806, NEW YORK, NY 10023-7603
(310) 963-1491
Mailing address
1841 BROADWAY RM 806, NEW YORK, NY 10023-7603
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1083729
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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