Healthcare Provider Details

I. General information

NPI: 1720202070
Provider Name (Legal Business Name): LOVELINA NADKARNI RD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 WOODMERE BLVD
WOODMERE NY
11598-2128
US

IV. Provider business mailing address

144 WOODMERE BLVD
WOODMERE NY
11598-2128
US

V. Phone/Fax

Practice location:
  • Phone: 516-374-1381
  • Fax: 516-295-2717
Mailing address:
  • Phone: 516-374-1381
  • Fax: 516-295-2717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License NumberR359604
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: