Individual
MISS IRENE M. NICOLAIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D. C.D.N.
Contact information
Practice address
2318 31ST ST, SUITE 320, ASTORIA, NY 11105-2892
(718) 728-9822
(718) 728-2004
Mailing address
2318 31ST ST, SUITE 320, ASTORIA, NY 11105-2892
(718) 728-9822
(718) 728-2004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005735-1
NY
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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