Provider Demographics
NPI:1760045165
Name:SALHOOBI, DIMA WALID (RD)
Entity Type:Individual
Prefix:
First Name:DIMA
Middle Name:WALID
Last Name:SALHOOBI
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 1:455 TARRYTOWN RD STE 1049
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1313
Mailing Address - Country:US
Mailing Address - Phone:914-426-3896
Mailing Address - Fax:
Practice Address - Street 1:70 STONEWALL CIR
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1831
Practice Address - Country:US
Practice Address - Phone:914-426-3896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-21
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered