Provider Demographics
NPI:1114969243
Name:NUNEZ, HARRIET L (RD)
Entity Type:Individual
Prefix:MRS
First Name:HARRIET
Middle Name:L
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3138
Mailing Address - Country:US
Mailing Address - Phone:516-565-4572
Mailing Address - Fax:516-565-4087
Practice Address - Street 1:1100 VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3138
Practice Address - Country:US
Practice Address - Phone:516-565-4572
Practice Address - Fax:516-565-4087
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002547-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered