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Individual

IRIS T PILGRIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17114 119TH AVE, JAMAICA, NY 11434-2244
(718) 527-1837
Mailing address
17114 119TH AVE, JAMAICA, NY 11434-2244
(718) 527-1837

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
12/30/2007
Last updated
12/30/2007
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