Doctor Name: | DR. KEITH THOMAS AYOOB |
NPI Number: | 1801948641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D., R.D., C.D.N. |
License Number: | 002276-1 |
Business Practice Address: | 1165 Morris Park Ave Room 438 Bronx, NY - 104611915 |
Business Phone Number: | 7184303970 |
Business Fax Number: | 7188234877 |
Mailing Address: | 212 E 47th St, 18f NEW YORK |
State: | NY |
Postal Code: | 100172128 |
Phone Number: | 7184303970 |
Fax Number: | 7188234877 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 002276-1 |
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 |