Individual
MARIA PASTUKHOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
99 WALL ST STE 3303, NEW YORK, NY 10005-4301
(201) 378-3237
Mailing address
99 WALL ST STE 3303, NEW YORK, NY 10005-4301
(201) 378-3237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011470-01
NY
133V00000X
Registered Dietitian
DT91541
TX
133V00000X
Registered Dietitian
DX7234
MD
133V00000X
Registered Dietitian
MED-NUTR-LIC-158808
MT
Other
Enumeration date
07/18/2023
Last updated
08/17/2025
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