Provider Demographics
NPI:1952596124
Name:MONA, RHONDA ABINA (MPH, RD)
Entity Type:Individual
Prefix:MISS
First Name:RHONDA
Middle Name:ABINA
Last Name:MONA
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:ABINA
Other - Last Name:MONA-DONALDSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11508 217TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1116
Mailing Address - Country:US
Mailing Address - Phone:718-413-7721
Mailing Address - Fax:212-615-0211
Practice Address - Street 1:441 NINTH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1623
Practice Address - Country:US
Practice Address - Phone:212-615-4156
Practice Address - Fax:212-615-0211
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003120-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered