Individual
JEANNINE KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDCES
Contact information
Practice address
40 W 4TH ST APT 22, PATCHOGUE, NY 11772-2124
(917) 704-5182
Mailing address
40 WEST 4TH ST APT 22, PATCHOGUE, NY 11772
(917) 704-5182
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1049577
NY
Other
Enumeration date
08/04/2016
Last updated
12/11/2024
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