Individual
MRS. ILLANA MATZ-KHROMCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3065 BRIGHTON 14TH ST, BROOKLYN, NY 11235-5501
(718) 646-8700
(718) 646-8726
Mailing address
11 HEDGEROW LN, MANALAPAN, NJ 07726-7905
(718) 646-8700
(718) 646-8726
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005384
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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