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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACLYN S TANE, RD

Active Sole Proprietor

JACLYN S TANE, RD is a Nutritionist healthcare provider located in ROSLYN HEIGHTS, New York. NPI 1063726347 is currently active in the NPPES registry. Verify at CMS.

Nutritionist · ROSLYN HEIGHTS, NY

Registration Details

NPI Number
1063726347
Provider Type
Individual
Gender
Female
NPI Issued
Jul 29, 2010 (16.037892338383 yrs)
Last Updated
Sep 2, 2011
License
006416 (NY)
Sole Proprietor
Yes

Practice Information

Address
216 WILLIS AVE
STE 001
ROSLYN HEIGHTS, NY, 115772125
Browse NY providers · Browse ZIP 11577
Phone
5168010022
Fax
5162771533
Primary Specialty
Nutritionist
133N00000X

Other Nutritionist Providers in ROSLYN HEIGHTS, NY

Name Credential NPI
LORI BERNSTEIN RD 1447532601
LAUREN A ROSEN RD 1255606968
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.