Brenda Abdulahad, RD, CDN, CNSC

Individual provider Active NPI Registered Dietitian · Brooklyn, NY

NPI 1992276844 · NPPES record last updated Dec 17, 2018

Key facts

NPI
1992276844
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
008327 (NY)
Practice address
588 78TH St
Brooklyn, NY 11209-3706
Phone
(646) 541-9514
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
008327NYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 008327 NY Yes

Addresses

Primary practice location

588 78TH St
Brooklyn, NY 11209-3706

Mailing address

588 78TH St
Brooklyn, NY 11209-3706
Phone (646) 541-9514

Other identifiers

IdentifierTypeStateIssuer
008327OtherNYCOMMISSION OF DIETETIC REGISTRATION

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Registered Dietitian in New York

Sources for this page

Verify at the official NPI Registry.