1952596124 NPI number — MISS RHONDA ABINA MONA MPH, RD

Table of content: MISS RHONDA ABINA MONA MPH, RD (NPI 1952596124)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952596124 NPI number — MISS RHONDA ABINA MONA MPH, RD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MONA
Provider First Name:
RHONDA
Provider Middle Name:
ABINA
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MPH, RD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MONA-DONALDSON
Provider Other First Name:
RHONDA
Provider Other Middle Name:
ABINA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1952596124
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11508 217TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMBRIA HEIGHTS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11411-1116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-413-7721
Provider Business Mailing Address Fax Number:
212-615-0211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
441 NINTH AVE
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10001-1623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-615-4156
Provider Business Practice Location Address Fax Number:
212-615-0211
Provider Enumeration Date:
09/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  003120-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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