Provider Demographics
NPI:1912142597
Name:RASABI, ADEE (MPH, RD, CDN, CDE)
Entity Type:Individual
Prefix:
First Name:ADEE
Middle Name:
Last Name:RASABI
Suffix:
Gender:F
Credentials:MPH, RD, CDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E 70TH ST
Mailing Address - Street 2:STARR PAVILION, 5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9800
Mailing Address - Country:US
Mailing Address - Phone:212-746-1011
Mailing Address - Fax:212-746-9456
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:GREENBERG 10-171
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-0838
Practice Address - Fax:212-746-9456
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY934364133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered