Individual
TAIYYIBAH MOUGHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1432 E FORKS RD, BAY SHORE, NY 11706-4312
(646) 243-2868
Mailing address
1432 E FORKS RD, BAY SHORE, NY 11706-4312
(646) 243-2868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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