Nisanov, Mindy Marla

Nisanov, Mindy Marla is an sole proprietor health care provider with primary practice located at 536 Fairway Drive , Woodmere NY 11598. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Nisanov, Mindy Marla can be contacted via phone (917) 828-7209.

Contact Information

Primary practice address
536 Fairway Drive Woodmere NY 11598
Phone: (917) 828-7209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1790461655
LBN Legal business name Nisanov, Mindy Marla
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2023
Last updated Jun 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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