Individual
JACLYN N LEOCATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
248 ROUTE 25A STE 3175, EAST SETAUKET, NY 11733-2954
(516) 661-3318
Mailing address
248 ROUTE 25A STE 3175, EAST SETAUKET, NY 11733-2954
(516) 661-3318
(800) 820-0434
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007410
NY
Other
Enumeration date
07/09/2014
Last updated
09/17/2024
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