Individual
MRS. JACLYN FOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MS, CDN, CNSC
Contact information
Practice address
10 TIMBER RIDGE DR, COMMACK, NY 11725-1740
(516) 655-4138
Mailing address
10 TIMBER RIDGE DR, COMMACK, NY 11725-1740
(516) 655-4138
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008455-01
NY
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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