Individual
JESSICA JASMINE WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1428 MADISON AVE, ATRAN BUILDING, FIRST FLOOR, NEW YORK, NY 10029-6508
(212) 241-6947
(212) 860-3316
Mailing address
DEPARTMENT OF GENETICS & GENOMIC SCIENCES, ONE GUSTAVE L LEVY PLACE, PO BOX 1497, NEW YORK, NY 10029
(212) 241-0922
(212) 860-3316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010653-01
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
010653-01
NY
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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