Provider Demographics
NPI:1740525328
Name:AL-SHAFEI, NADIA M (RD, CDN)
Entity type:Individual
Prefix:MS
First Name:NADIA
Middle Name:M
Last Name:AL-SHAFEI
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 EMMONS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2727
Mailing Address - Country:US
Mailing Address - Phone:718-368-2960
Mailing Address - Fax:718-368-2249
Practice Address - Street 1:2211 EMMONS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2727
Practice Address - Country:US
Practice Address - Phone:718-368-2960
Practice Address - Fax:718-368-2249
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007624133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered