Individual
JAMIE SAMANTHA KORNREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20 FAIRBANKS BLVD, WOODBURY, NY 11797-2619
(516) 359-0585
Mailing address
20 FAIRBANKS BLVD, WOODBURY, NY 11797-2619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86346064
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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