Individual
ALECIA JOY COGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18 HAUGHWOUT AVE, STATEN ISLAND, NY 10302-2607
(917) 524-4679
Mailing address
18 HAUGHWOUT AVE, STATEN ISLAND, NY 10302-2607
(917) 524-4679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86153435
NY
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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