Individual
MS. ALEXANDRA MARIE NICOLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
2615 GENESEE ST, UTICA, NY 13501-6230
(315) 351-2622
(315) 215-2920
Mailing address
2615 GENESEE ST, UTICA, NY 13501-6230
(315) 351-2622
(315) 215-2920
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009966
NY
Other
Enumeration date
04/17/2019
Last updated
06/30/2021
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