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Individual

JACLYN ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CNS, CDN

Contact information

Practice address
60 FIRE ISLAND AVE STE 102, BABYLON, NY 11702-3502
(516) 817-9581
Mailing address
58 HONEYSUCKLE RD, LEVITTOWN, NY 11756-2237
(516) 817-9581

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
012896
NY

Other

Enumeration date
10/23/2024
Last updated
09/21/2025
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