Souffrant, Wilda

Souffrant, Wilda is an sole proprietor health care provider with primary practice located at 327 Beach 19Th St , Far Rockaway NY 11691-4423. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Souffrant, Wilda can be contacted via phone (718) 869-7000.

Contact Information

Primary practice address
327 Beach 19Th St Far Rockaway NY 11691-4423
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1035358 New York

Profile Details

NPI number 1922523273
LBN Legal business name Souffrant, Wilda
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2017
Last updated Mar 17th, 2018 - 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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