Individual
ALEXA REED NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
16 MADISON SQ W FL 12, NEW YORK, NY 10010-1629
(516) 330-0944
Mailing address
16 MADISON SQ W FL 12, NEW YORK, NY 10010-1629
(516) 330-0944
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86152816
NY
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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