| Doctor Name: | IVANA KLARIC-MANDIC |
| NPI Number: | 1740553908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., C.D.N. |
| License Number: | 007075-1 |
| Business Practice Address: | 1650 Selwyn Ave Fl 10 Bronx, NY - 104577626 |
| Business Phone Number: | 3476733991 |
| Business Fax Number: | |
| Mailing Address: | 3064 43rd St Apt 3l, ASTORIA |
| State: | NY |
| Postal Code: | 111032656 |
| Phone Number: | 6508629622 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2012 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 007075-1 |
| 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 |