Individual
MISS STEPHANIE LYNN JAWOROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSACN
Contact information
Practice address
66 AUSTIN BLVD, COMMACK, NY 11725-5733
(631) 864-2784
(631) 670-6730
Mailing address
66 AUSTIN BLVD, COMMACK, NY 11725-5733
(631) 864-2784
(631) 670-6730
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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