Individual
JESSICA KOSCIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1153 3RD AVE, APT 10, NEW YORK, NY 10065-6009
(603) 498-1556
Mailing address
1153 3RD AVE, APT 10, NEW YORK, NY 10065-6009
(603) 498-1556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10106555
NY
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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