Provider Demographics
NPI:1306147483
Name:TEHRANI, JOANNE (RD)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:TEHRANI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 E 93RD ST
Mailing Address - Street 2:APT 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5533
Mailing Address - Country:US
Mailing Address - Phone:917-334-0377
Mailing Address - Fax:
Practice Address - Street 1:323 E 93RD ST
Practice Address - Street 2:APT 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-5533
Practice Address - Country:US
Practice Address - Phone:917-334-0377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY998993133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered