Individual
MS. PHYLLIS KASKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1251 RALEIGH ROAD, MAMARONECK, NY 10543
(212) 241-6198
(212) 849-2588
Mailing address
1251 RALEIGH ROAD, MAMARONECK, NY 10543
(212) 241-6198
(212) 849-2588
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002739-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002739-1
CERTIFIED DIETITIAN NUTRI
NY
01
—
460735
REGISTERED DIETITIAN
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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