Individual
JESSICA FIEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
119 W 57TH ST, NEW YORK, NY 10019-2303
(212) 333-4243
Mailing address
201 E 69TH ST APT 7X, NEW YORK, NY 10021-5474
(917) 699-4382
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1041996
NY
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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