Individual
AUDREY KOLTUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
21 DONNA DR, PLAINVIEW, NY 11803-3101
(516) 938-5912
(516) 470-4565
Mailing address
21 DONNA DR, PLAINVIEW, NY 11803-3101
(516) 938-5912
(516) 470-4565
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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