Individual
MS. MARIA MORIARTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.,C.D.N.
Contact information
Practice address
98120 QUEENS BLVD, 1C, REGO PARK, NY 11374-4357
(718) 268-9598
(718) 544-5754
Mailing address
6820 SELFRIDGE ST, 1M, FOREST HILLS, NY 11375-5746
(718) 268-9598
(718) 544-5754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000899-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163619
ELDERPLAN
NY
01
—
8000030
GHI
NY
01
—
P466589
OXFORD
NY
Enumeration date
09/20/2005
Last updated
07/08/2007
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