Andrea Robin Davis, RD
Dietitian, Registered, Nutrition, Renal in Rego Park, NY. Individual provider (NPI-1).
NPI number1891024147
StatusActive
Last updated in NPPESDec 16, 2009
Details
- NPI
- 1891024147
- Entity type
- Individual (NPI-1)
- Name
- Ms. Andrea Robin Davis
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2009
- Last updated
- Dec 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1005X | Dietitian, Registered, Nutrition, Renal | 0003361 | NY | Yes |
Practice location
9405 66th AveRego Park, NY 11374-4631
Phone 718-275-5128
Mailing address
9405 66th AveRego Park, NY 11374-4631
Phone 718-275-5128
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