Individual
MRS. KRISTINE LOUISE BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.N.
Contact information
Practice address
1 PATTY ANN CT, PORT JEFFERSON STATION, NY 11776-8031
(631) 474-8684
(631) 474-8684
Mailing address
1 PATTY ANN CT, PORT JEFFERSON STATION, NY 11776-8031
(631) 474-8684
(631) 474-8684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
714025
NY
Other
Enumeration date
04/26/2009
Last updated
04/26/2009
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