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Contact Information

KEITH T AYOOB, ED.D., R.D., C.D.N.
1165 MORRIS PARK AVE
ROOM 438
BRONX, NY10461-1915
 Phone: 718-430-3970
 Fax: 718-823-4877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KEITH T AYOOB · (Male)

NPI # 1801948641
Status Active
Credentials ED.D., R.D., C.D.N.
Entity Individual
Enumeration date 01/18/2007
Last updated 11/19/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 002276-1
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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