Individual
JACQUELINE AIZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
210 174TH ST FL 33160, SUNNY ISLES BEACH, FL 33160-3329
(646) 623-0399
Mailing address
210 174TH ST APT 1112, SUNNY ISLES BEACH, FL 33160-3340
(646) 623-0399
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
997860
NY
Other
Enumeration date
05/25/2012
Last updated
08/20/2025
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