| Naz Maduro Nutrition Llc | |
|
11835 Queens Blvd Ste 400, Forest Hills, NY 11375-7211 | |
| (929) 307-0050 | |
| Not Available |
| Full Name | Naz Maduro Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 11835 Queens Blvd Ste 400, Forest Hills, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013681063 | NPI | - | NPPES |
| 1306391586 | Other | NY | NAZIRBER MADURO INDIVIDUAL NPI |
| 03813283 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Nazirber Del Carmen Maduro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306391586 PECOS PAC ID: 4385909746 Enrollment ID: I20180606000256 |
| Provider Name | Leddy Wilma Mezarina |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619643343 PECOS PAC ID: 9638550007 Enrollment ID: I20220715001511 |
| Provider Name | Rita Saeed |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518635176 PECOS PAC ID: 0941684625 Enrollment ID: I20220830000324 |
| Provider Name | Ling Shan Sun |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710766175 PECOS PAC ID: 2961848239 Enrollment ID: I20240308001023 |
| Provider Name | Stephanie Aviles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063093698 PECOS PAC ID: 5799123709 Enrollment ID: I20240409003503 |
| Mailing Address | Practice Location Address |
|---|---|
| Naz Maduro Nutrition Llc 11835 Queens Blvd Ste 400, Forest Hills, NY 11375-7211 Ph: (929) 307-0050 | Naz Maduro Nutrition Llc 11835 Queens Blvd Ste 400, Forest Hills, NY 11375-7211 Ph: (929) 307-0050 |
Alissa Lewis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10915 Queens Blvd, 2g, Forest Hills, NY 11375 Phone: 516-319-9902 | |
Kueiting Alice Ma, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10025 Queens Blvd, 7hh, Forest Hills, NY 11375 Phone: 917-710-7781 | |
Michelle Routhenstein, MS RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6911 Yellowstone Blvd Apt A67, Forest Hills, NY 11375 Phone: 201-403-7678 | |
Dara Bergen, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 11241 Queens Blvd, Suite 100, Forest Hills, NY 11375 Phone: 718-544-0770 Fax: 718-261-5522 | |
Isabella Marina Elisabet Alessandrini, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10520 66th Ave Apt 4d, Forest Hills, NY 11375 Phone: 516-353-4469 | |
Mrs. Miriam Frucht, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10240 67th Rd, Apt 1t, Forest Hills, NY 11375 Phone: 347-742-7658 |