Individual
INDU JAISWAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8201 37TH AVE, JACKSON HEIGHTS, NY 11372-7011
(718) 335-5800
(718) 335-9237
Mailing address
3141 45TH ST, LONG ISLAND CITY, NY 11103-1621
(718) 721-1500
(718) 777-1623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000348
NY
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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