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Provider Information for 1336525187

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MS. SHABNAM AHAMED MS, RDN, CDN, CDCES

Other Name:   SHABNAM GREENFIELD
Gender: FEMALE

Individual NPI: 1336525187

Calendar   Last Updated:  2020-07-02
  Certification Date:  2020-07-02

Details

Name Value
NPI 1336525187
Enumeration Date 2015-08-04
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1276 FULTON AVE RM 219
BRONX, NY 10456-3402
United States

Phone: 718-992-7669 | Fax:
View Map External Link
Primary Practice Address 2432 GRAND CONCOURSE FL 1
BRONX, NY 10458-5204
United States

Phone: 718-992-7669 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 133V00000X - Dietitian, Registered NY 007825-1
No 133V00000X - Dietitian, Registered NY 0078251