Provider Demographics
NPI:1497945521
Name:WUHL, LAURA M (MS, RD, CDN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:M
Last Name:WUHL
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 E 29TH ST
Mailing Address - Street 2:7H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8170
Mailing Address - Country:US
Mailing Address - Phone:856-912-6999
Mailing Address - Fax:
Practice Address - Street 1:154 E 29TH ST
Practice Address - Street 2:7H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8170
Practice Address - Country:US
Practice Address - Phone:856-912-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X, 133VN1006X
NY006071-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic