Provider Demographics
NPI:1871884544
Name:COX, SHIRIN AFSARZADEH (RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:SHIRIN
Middle Name:AFSARZADEH
Last Name:COX
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:MISS
Other - First Name:SHIRIN
Other - Middle Name:
Other - Last Name:AFSARZADEH-ESFAHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CDN
Mailing Address - Street 1:54 N WASHINGTON ST
Mailing Address - Street 2:APT 2
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3331
Mailing Address - Country:US
Mailing Address - Phone:917-833-4102
Mailing Address - Fax:917-833-4102
Practice Address - Street 1:54 N WASHINGTON ST
Practice Address - Street 2:APT 2
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-3331
Practice Address - Country:US
Practice Address - Phone:917-833-4102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist