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Contact Information

JEANNIE M MUND, MPA CLC RD CDN
19 SCHOHARIE ST
NEW YORK, NY10312
 Phone: 347-413-4192
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JEANNIE M MUND · (Female)

NPI # 1356519797
Status Active
Credentials MPA CLC RD CDN
Entity Individual
Enumeration date 02/20/2008
Last updated 02/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 002995
  • Other 707184 ADA REGISTRATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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