Individual
NINA WACHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
400 TITUS WAY, EAST WILLISTON, NY 11596-2539
(516) 746-0553
(516) 746-0553
Mailing address
400 TITUS WAY, EAST WILLISTON, NY 11596-2539
(516) 746-0553
(516) 746-0553
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1941384
OXFORD
NY
Enumeration date
01/08/2007
Last updated
07/08/2007
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