Individual
JENNIFER CONCETTA TABACHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
16 MASONIC AVE, HOLTSVILLE, NY 11742-2325
(516) 521-8161
Mailing address
16 MASONIC AVE, HOLTSVILLE, NY 11742-2325
(516) 521-8161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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