Provider Demographics
NPI:1538922893
Name:HURWITZ, SHULAMIT (RD CDN)
Entity type:Individual
Prefix:MRS
First Name:SHULAMIT
Middle Name:
Last Name:HURWITZ
Suffix:
Gender:F
Credentials:RD CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 WINDSOR LN
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3037
Mailing Address - Country:US
Mailing Address - Phone:516-481-9898
Mailing Address - Fax:
Practice Address - Street 1:242 WINDSOR LN
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3037
Practice Address - Country:US
Practice Address - Phone:516-481-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005373133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered