TATIANA KIDANOV

BROOKLYN, NY
NPI1871775171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: NY  006762)
Enumeration Date2007-11-29
Last Update Date2009-12-02
Business Address
-- TATIANA KIDANOV ms,rd
1309 AVE P
BROOKLYN, NY 11229
Phone number: 718-648-2162
Mailing Address
-- TATIANA KIDANOV ms,rd
36 BORMAN AVE
STATEN ISLAND, NY 10314
Phone number: 917-721-4494
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