Individual
NIA JOELLE WINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN CDN
Contact information
Practice address
33 W 19TH ST STE 405, NEW YORK, NY 10011-4333
(888) 669-6163
Mailing address
300 NOEL ST, STATEN ISLAND, NY 10312-5928
(718) 663-9241
(718) 317-0372
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86062582
NY
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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