Individual
PROF. NICOLETTE M PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD, CDE,CDN, CFCS
Contact information
Practice address
295 NORTHERN BLVD, STE 105, GREAT NECK, NY 11021-4706
(516) 482-3100
(516) 482-3131
Mailing address
295 NORTHERN BLVD, STE 105, GREAT NECK, NY 11021-4706
(516) 482-3100
(516) 482-3131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005258-1
NY
Other
Enumeration date
02/01/2006
Last updated
11/22/2011
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