Provider Demographics
NPI:1093967622
Name:NAGY, TIMEA (RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:TIMEA
Middle Name:
Last Name:NAGY
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:TIMEA
Other - Middle Name:
Other - Last Name:NAGY-WALLRAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CDN
Mailing Address - Street 1:1061 RUTH PL
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2037
Mailing Address - Country:US
Mailing Address - Phone:516-841-8421
Mailing Address - Fax:
Practice Address - Street 1:400 FULTON ST
Practice Address - Street 2:APT 1 D
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3497
Practice Address - Country:US
Practice Address - Phone:516-586-3427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006337133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered