Provider Demographics
NPI:1215261060
Name:EGERUOH, HELEN GLORIA NGOZI (RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:HELEN GLORIA
Middle Name:NGOZI
Last Name:EGERUOH
Suffix:
Gender:F
Credentials:RD, CDN
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 OCEAN PKWY
Mailing Address - Street 2:CONEY ISLAND HOSPITAL , FOOD & NUTRITION SERVICES
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7745
Mailing Address - Country:US
Mailing Address - Phone:718-616-4183
Mailing Address - Fax:718-616-4791
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:CONEY ISLAND HOSPITAL , FOOD & NUTRITION SERVICES
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-4183
Practice Address - Fax:718-616-4791
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY002363-1133N00000X
IL862502133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered