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NPI Code Detail

MEDICARE: MRS. ZEHAVA S ZELL RD CDN

MEDICARE:  MRS. ZEHAVA S ZELL  RD CDN
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
1133N00000XNutritionist006324NY
2133V00000XRegistered Dietitian940576NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12838280OTHERNYUNITED HEALTH CARE
2P3865850OTHERNYOXFORD PROVIDER NUMBER

General Provider Information

NPI Number : 1821260316
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ZEHAVA S ZELL RD CDN
Provider Business Mailing Address
First Line : 1447 E 17TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6703
Country : US
Telephone Number : 917-825-1008
Fax Number : 718-336-0867
Provider Business Practice Location Address
First Line : 1447 E 17TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6703
Country : US
Telephone Number : 917-825-1008
Fax Number : 718-336-0867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2008
Last Update Date : 03/25/2008

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Directions to “ MRS. ZEHAVA S ZELL RD CDN” Practice Location

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