Individual
MRS. JENNIFER J WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,CDN
Contact information
Practice address
1913 DEER PARK AVE, DEER PARK, NY 11729-3300
(516) 987-7375
(631) 588-1390
Mailing address
1913 DEER PARK AVE, DEER PARK, NY 11729-3300
(516) 987-7375
(631) 588-1390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005234-1
NY
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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