Individual
MS. JAYNE WIPROVNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7311
(212) 717-3316
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7311
(212) 717-3316
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
002580
NY
133V00000X
Registered Dietitian
Primary
645653
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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