Cordova, Suzana Del Carmen

Cordova, Suzana Del Carmen is an sole proprietor health care provider with primary practice located at 133 Cory Ln , Elmwood Park NJ 07407-3224. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Cordova, Suzana Del Carmen can be contacted via phone (201) 774-0167.

Contact Information

Primary practice address
133 Cory Ln Elmwood Park NJ 07407-3224
Phone: (201) 774-0167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86014931 New Jersey
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 86014931 New Jersey
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 86014931 New Jersey
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 86014931 New Jersey

Profile Details

NPI number 1710428750
LBN Legal business name Cordova, Suzana Del Carmen
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2017
Last updated Mar 9th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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