Individual
ARLENE MARIE JACOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6510 99TH ST, SUITE LL1, REGO PARK, NY 11374-3569
(201) 320-4589
Mailing address
6767 BURNS ST APT 5G, FOREST HILLS, NY 11375-3509
(201) 320-4589
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
945288
NY
133VN1004X
Pediatric Nutrition Registered Dietitian
945288
NY
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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