Individual
AUSTIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
195 MONTAGUE ST, BROOKLYN, NY 11201-3628
(646) 661-5210
Mailing address
6964 229TH ST, OAKLAND GARDENS, NY 11364-3119
(646) 678-0689
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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