Individual
AMANDA JACQUELINE REICHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN CDN CPT
Contact information
Practice address
41 JOHN ST, BABYLON, NY 11702-2932
(631) 205-3375
Mailing address
41 JOHN ST, BABYLON, NY 11702-2932
(631) 204-3375
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86050604
NY
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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