| Shivani Mohabir, | |
|
11723 132nd St, South Ozone Park, NY 11420-2906 | |
| (917) 742-9889 | |
| Not Available |
| Full Name | Shivani Mohabir |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Obesity And Weight Management |
| Location | 11723 132nd St, South Ozone Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093443970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Primary |
| Provider Name | Interfaith Professional Physician Services Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
| Provider Name | Kingsbrook Medical Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104112838 PECOS PAC ID: 8729252028 Enrollment ID: O20111123000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivani Mohabir, 11723 132nd St, South Ozone Park, NY 11420-2906 Ph: (917) 742-9889 | Shivani Mohabir, 11723 132nd St, South Ozone Park, NY 11420-2906 Ph: (917) 742-9889 |
Lisa Rousso, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11420 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 646-229-5575 Fax: 917-300-2125 | |
Nra Nutritional Consulting Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13124 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 516-567-5176 |