Most Relevant Information
Provider Data
| NPI Number: | 1003388315 |
| Provider Name: | SHIRA WOLFSON RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/27/2018 |
| Last Updated: | 04/21/2021 |
Provider Practice Location
522 E 9TH ST
BROOKLYN
NY
112185221
Practice Location Phone/Fax
| Phone: | 7184355009 |
| Fax: |
Provider Mailing Location
1487 E TERRACE CIR APT 6
TEANECK
NJ
076665220
Provider Mailing Phone/Fax
| Phone: | 3473461449 |
| Fax: |