Individual
LAURA KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1621 EASTCHESTER RD, BRONX, NY 10461-2604
(718) 405-8066
Mailing address
1621 EASTCHESTER RD, BRONX, NY 10461-2604
(718) 405-8066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008894
NY
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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