Individual
LEORA BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
3950 BLACKSTONE AVE, APT 3G, BRONX, NY 10471-3703
(516) 242-0985
Mailing address
3950 BLACKSTONE AVE, APT 3G, BRONX, NY 10471-3703
(516) 242-0985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1009607
NY
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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