Doctor Name: | MS. MARYALICE LAUB |
NPI Number: | 1205071768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 005710 |
Business Practice Address: | 1650 Grand Concourse Bronx, NY - 104577606 |
Business Phone Number: | 7185185131 |
Business Fax Number: | |
Mailing Address: | 219 E 85th St Apt 3rw, NEW YORK |
State: | NY |
Postal Code: | 100283065 |
Phone Number: | 9178257307 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2008 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 005710 |
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 |