Mofidi, Shideh

Mofidi, Shideh is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 2850S , Hawthorne NY 10532-2140. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Mofidi, Shideh can be contacted via phone (914) 304-5280.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 2850S Hawthorne NY 10532-2140
Phone: (914) 304-5280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1235719212
LBN Legal business name Mofidi, Shideh
Credentials MS, RD, CSP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2021
Last updated Apr 13th, 2021 - about 3 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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