Doctor Name: | EDELINA J BUSTAMANTE |
NPI Number: | 1164892337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CDN |
License Number: | 48 006962 |
Business Practice Address: | 240 E 38th St Fl 18 New York, NY - 100162708 |
Business Phone Number: | 6465017922 |
Business Fax Number: | |
Mailing Address: | 240 E 38th St Fl 18, NEW YORK |
State: | NY |
Postal Code: | 100162708 |
Phone Number: | 6465017922 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2015 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 48 006962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |