Individual
MS. ANDREA ROBIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9405 66TH AVE, REGO PARK, NY 11374-4631
(718) 275-5128
Mailing address
9405 66TH AVE, REGO PARK, NY 11374-4631
(718) 275-5128
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
0003361
NY
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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