Individual
JACQUELINE PODEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
20 W 20TH ST, SUITE 203, NEW YORK, NY 10011-4213
(212) 410-6052
(212) 420-1880
Mailing address
20 W 20TH ST, SUITE 203, NEW YORK, NY 10011-4213
(212) 410-6052
(212) 420-1880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
626503
—
Other
Enumeration date
11/21/2006
Last updated
09/26/2012
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