Individual
JACQUELINE COTUMACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
55 CUTTERMILL RD, GREAT NECK PLAZA, NY 11021-3259
(516) 751-5736
Mailing address
32 HIGHFIELD CT, DIX HILLS, NY 11746-5713
(516) 512-4076
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86209519
NY
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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