Individual
MRS. JESSICA CHAFETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3361 JUDITH DRIVE, BELLMORE, NY 11710
(516) 509-1402
Mailing address
3361 JUDITH DRIVE, BELLMORE, NY 11710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
923249
NY
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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