Provider Demographics
NPI:1710474119
Name:NEUMAN, MEREDITH EVE (MS, RDN)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:EVE
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 E 46TH ST APT 12B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2916
Mailing Address - Country:US
Mailing Address - Phone:646-468-1187
Mailing Address - Fax:
Practice Address - Street 1:240 E 46TH ST APT 12B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2916
Practice Address - Country:US
Practice Address - Phone:646-468-1187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86046417133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered