Individual
STACY K. LEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
6615 246TH ST, LITTLE NECK, NY 11362-2340
(917) 882-4697
Mailing address
6615 246TH ST, LITTLE NECK, NY 11362-2340
(917) 882-4697
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
007482
NY
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
1046501
—
Other
Enumeration date
08/16/2013
Last updated
01/14/2020
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