Shideh Mofidi, MS, RD, CSP
Shideh Mofidi, MS, RD, CSP is a Registered Dietitian OR Nutrition Professional in Hawthorne, New York. Qualified in 1988, 38 years ago. Registered with an NPI since 2021.
- Years since qualifying
- 38
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
19 Bradhurst Ave Ste 2850SHawthorne, NY 10532-2140
Phone: (914) 304-5280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X |
|---|---|
| Pediatric Nutrition Registered Dietitian | Taxonomy 133VN1004X |
| Metabolic Nutrition Registered Dietitian | Taxonomy 133VN1006X |
Record details
| NPI number | 1235719212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , RD , CSP |
| Sole proprietor | No |
| NPI enumerated | April 13, 2021 |
| Last updated in NPPES | April 13, 2021 |
| Certification date | April 11, 2021 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 1988 (38 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |