Individual
KAREN BUKOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
200 W 26TH ST APT 5P, NEW YORK, NY 10001-6747
(213) 447-8292
Mailing address
200 W 26TH ST APT 5P, NEW YORK, NY 10001-6747
(213) 447-8292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0099486-1
NY
133V00000X
Registered Dietitian
86086875
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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