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Individual

DR. KEITH THOMAS AYOOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D., R.D., C.D.N.

Contact information

Practice address
1165 MORRIS PARK AVE, ROOM 438, BRONX, NY 10461-1915
(718) 430-3970
(718) 823-4877
Mailing address
212 E 47TH ST, 18F, NEW YORK, NY 10017-2128
(718) 430-3970
(718) 823-4877

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002276-1
NY

Other

Enumeration date
01/18/2007
Last updated
11/19/2014
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