Individual
KEVIN THOMAS HANDSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D., L.D.
Contact information
Practice address
2079 FOREST AVE, STATEN ISLAND, NY 10303-1865
(718) 815-6560
Mailing address
2079 FOREST AVE, STATEN ISLAND, NY 10303-1865
(718) 815-6560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008547
NY
133V00000X
Registered Dietitian
—
NJ
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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