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Maria Iraida Castanos, RDN

Dietitian, Registered in Jamaica, NY. Individual provider (NPI-1).

NPI number1710494257
StatusActive
Last updated in NPPESJan 5, 2018

Details

NPI
1710494257
Entity type
Individual (NPI-1)
Name
Maria Iraida Castanos
Credential
RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 5, 2018
Last updated
Jan 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered849369NYYes

Practice location

82-68 164th St.
Jamaica, NY 11432

Phone 718-883-3627 · Fax 718-883-6310

Mailing address

33 Palm Lane
Westbury, NY 11590

Phone 917-715-6436 · Fax 718-883-6310

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