Provider Demographics
NPI:1801622915
Name:DALAL, TANVI AMISH (MS RD CPT)
Entity type:Individual
Prefix:
First Name:TANVI
Middle Name:AMISH
Last Name:DALAL
Suffix:
Gender:F
Credentials:MS RD CPT
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Other - First Name:
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Mailing Address - Street 1:365 BRIDGE STREET
Mailing Address - Street 2:APT 11L
Mailing Address - City:BROOKLYN, NY
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:201-257-1455
Mailing Address - Fax:
Practice Address - Street 1:365 BRIDGE STREET
Practice Address - Street 2:APT 11L
Practice Address - City:BROOKLYN, NY
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:201-257-1455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered