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Organization
ELENA KUNICKI LLC
Active
Organization
ELENA KUNICKI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA KUNICKI RD (OWNER/DIETITIAN)
(917) 715-3460
Entity
Organization
Contact information
Practice address
6840 SELFRIDGE ST, FOREST HILLS, NY 11375-5742
(917) 715-3460
Mailing address
6840 SELFRIDGE ST, FOREST HILLS, NY 11375-5742
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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