Individual
MS. MARCI KLIESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1460 VICTORY BLVD, STATEN ISLAND, NY 10301-3914
(718) 442-0300
(781) 981-5047
Mailing address
1 EDGEWATER ST, SUITE 723, STATEN ISLAND, NY 10305-4900
(718) 226-1047
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005339
NY
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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