Vicki Rebecca Bogard MS RD CDN

NPI 1013339274 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1013339274
Gender Female
Enumeration Date 01/07/2014
Last Updated 01/07/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4115 45TH ST
APT. 5H
SUNNYSIDE NY, 11104-1949, US
Phone (718) 482-0406
Fax (718) 482-0406
Business Location
4115 45TH ST
APT. 5H
SUNNYSIDE NY, 11104-1949, US
Phone (718) 482-0406
Fax (718) 482-0406
Toxanomy
Taxonomy Code 133V00000X
License State New York
License Number 005423-1
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According to our database, Vicki Rebecca Bogard MS RD CDN NPI is 1013339274, taxonomy code is 133V00000X and license number is 005423-1, license state is located at New York. Vicki Rebecca Bogard MS RD CDN physically located at 4115 45th St, Sunnyside NY, 11104-1949. NPI Number Vicki Rebecca Bogard MS RD CDN has the Individual type.

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1013339274 NPI number is provided on an as is basis without warranty of any kind. 1013339274 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Rebecca Bogard MS RD CDN are for informational purposes only.