Individual
ELIZABETH BUKAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN, CDCES
Contact information
Practice address
6029 DELAFIELD AVE APT 2, BRONX, NY 10471-1801
(917) 916-5454
Mailing address
6029 DELAFIELD AVE APT 2, BRONX, NY 10471-1801
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86069323
NY
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
05/01/2023
Last updated
09/13/2024
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