Provider Demographics
NPI:1992947840
Name:NOBLES, MARIA F (RD)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:F
Last Name:NOBLES
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 1:11 N TERRACE PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3711
Mailing Address - Country:US
Mailing Address - Phone:516-606-5408
Mailing Address - Fax:
Practice Address - Street 1:11 N TERRACE PL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3711
Practice Address - Country:US
Practice Address - Phone:516-606-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY888677133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered