Organization
JAG NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET ANN GOTTLIEB RDN (REGISTERED DIETITIAN NUTRITIONIST)
(347) 723-4043
Entity
Organization
Contact information
Practice address
121 TARA DR, ROSLYN, NY 11576-2727
(347) 723-4043
Mailing address
121 TARA DR, ROSLYN, NY 11576-2727
(347) 723-4043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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