Individual
LUBA MAFO TRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4811
Mailing address
2851 ARTHUR LN, WANTAGH, NY 11793-2331
(516) 770-5649
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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