MEDICARE: VALISHA BARCLAY RDN

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		NY

General Provider Information

NPI Number	:	1952981797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALISHA BARCLAY RDN

Provider Business Mailing Address
First Line	:	17237 125TH AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-3301
Country	:	US
Telephone Number	:	347-605-0379
Fax Number	:

Provider Business Practice Location Address
First Line	:	17237 125TH AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-3301
Country	:	US
Telephone Number	:	347-605-0379
Fax Number	:

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

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	07/08/2025

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Directions to “ VALISHA BARCLAY RDN” Practice Location

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