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

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Pediatric Nutrition · JAMAICA, NY

Registration Details

NPI Number
1346713807
Provider Type
Individual
Gender
Female
NPI Issued
Jan 8, 2019 (7.295874805769 yrs)
Last Updated
Jan 8, 2019
Licenses
000825 (NY)
000825 (NY)
000825 (NY)
000825 (NY)

Practice Information

Address
12520 SUTPHIN BLVD
JAMAICA, NY, 114342397
Browse NY providers · Browse ZIP 11434
Phone
7183222136
Primary Specialty
Pediatric Nutrition
133VN1004X
Additional Specialty
Nutrition, Education
Additional Specialty
Pediatric Nutrition
Additional Specialty
Registered Dietitian
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.