Whalio Doctors

NPI 1184050221

Randi Luckman, MSCPCCHCCM

Practitioner Nutrition Education Nutritionist Bronx, NY

Practice location

Address
750 Kappock St #1015, Bronx, NY 10463-4612
Phone
(917) 763-4111
Mailing address
750 Kappock St # 1015, Bronx, NY 10463-4612

Registered specialties (2)

Nutrition Education Nutritionist Primary
Dietary & Nutritional Service Providers Taxonomy 133NN1002X
Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133N00000X

Registry record

NPI
1184050221
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Sep 2013
Record last updated
20 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.