Healthcare Provider Details

I. General information

NPI: 1760045165
Provider Name (Legal Business Name): DIMA WALID SALHOOBI RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2019
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 ALBANY POST RD STE 201
MONTROSE NY
10548-1447
US

IV. Provider business mailing address

2125 ALBANY POST RD STE 201
MONTROSE NY
10548-1447
US

V. Phone/Fax

Practice location:
  • Phone: 914-426-3896
  • Fax: 866-305-3839
Mailing address:
  • Phone: 914-426-3896
  • Fax: 866-305-3839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: