MEDICARE: NAOMI RHEIN RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	006325	NY

General Provider Information

NPI Number	:	1245454271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI RHEIN RD

Provider Business Mailing Address
First Line	:	1267 E 27TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1267 E 27TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4622
Country	:	US
Telephone Number	:	718-377-2456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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