Individual
RANDI LUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S,C.P.C, C.H.C, CM
Contact information
Practice address
750 KAPPOCK ST, #1015, BRONX, NY 10463-4612
(917) 763-4111
Mailing address
750 KAPPOCK ST, # 1015, BRONX, NY 10463-4612
(917) 763-4111
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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