Doctor Name: | MR. LEON SMULAKOWSKI |
NPI Number: | 1164863965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | 1105190 |
Business Practice Address: | 3210 Riverdale Ave 8f Bronx, NY - 104633695 |
Business Phone Number: | 3479248389 |
Business Fax Number: | |
Mailing Address: | 3210 Riverdale Ave, 8f BRONX |
State: | NY |
Postal Code: | 104633695 |
Phone Number: | 3479248389 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2013 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1105190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |