Provider Demographics
NPI:1558032375
Name:LAINO, TEELA NAKASHIAN (MS, RD)
Entity Type:Individual
Prefix:
First Name:TEELA
Middle Name:NAKASHIAN
Last Name:LAINO
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 MORGAN AVE # 1022
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-5251
Mailing Address - Country:US
Mailing Address - Phone:682-560-1822
Mailing Address - Fax:
Practice Address - Street 1:535 MORGAN AVE # 1022
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-5251
Practice Address - Country:US
Practice Address - Phone:682-560-1822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered