Individual
JAMIE KESMODEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8 CARISSA LN, GREENWICH, CT 06830-3117
(917) 674-0867
Mailing address
8 CARISSA LN, GREENWICH, CT 06830-3117
(917) 674-0867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006677-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
993662
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
07/25/2021
Last updated
07/25/2021
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