Individual
KRISTIN HANTZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
2151 32ND ST, ASTORIA, NY 11105-2301
(860) 331-3717
Mailing address
2151 32ND ST, ASTORIA, NY 11105-2301
(860) 331-3717
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
007270
NY
133V00000X
Registered Dietitian
Primary
1083997
CT
Other
Enumeration date
11/17/2012
Last updated
11/17/2012
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