- Practice location
- 1000 10TH Ave Rm 2B-05, New York, NY 10019-1147
- Phone
- 212-523-6733
- Fax
- —
- Last updated
- January 31, 2020
Sirida Subudom is a Dietitian, Registered based in New York, NY. Sirida Subudom practices in New York, NY and has the professional credentials of MS, RD. The NPI Number for Sirida Subudom is 1669003232. The current practice location address for Sirida Subudom is 1000 10TH Ave Rm 2B-05, New York, NY 10019-1147 and can be reached out via phone at 212-523-6733.
Provider Profile Details
- NPI Number
- 1669003232
- Provider Name
- Sirida Subudom
- Credential
- MS, RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1000 10TH Ave Rm 2B-05, New York, NY 10019-1147
- Phone Number
- 212-523-6733
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 31, 2020
- Last Update Date
- January 31, 2020
- Certification Date
- January 31, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 10TH Ave Rm 2B-05
New York, NY 10019-1147 - City
- New York
- State
- New York
- Zip
- 10019-1147
- Phone Number
- 212-523-6733
Provider Business Mailing Address Details
- Address
- 700 Grove St Apt 9P
Jersey City, NJ 07310-1273 - City
- Jersey City
- State
- NJ
- Zip
- 07310-1273
- Phone Number
- 845-300-9648
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sirida Subudom, MS, RD?
The NPI number of Sirida Subudom, MS, RD is 1669003232. It was assigned on January 31, 2020 and is currently active in the NPPES registry.
What is the specialty of Sirida Subudom, MS, RD?
Sirida Subudom, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Sirida Subudom, MS, RD practice?
The practice location is 1000 10TH Ave Rm 2B-05, New York, NY 10019-1147. The office can be reached at 212-523-6733 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669003232 directly on the NPPES registry website.