Individual
TARA ANN KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
7239 BERGEN CT, BROOKLYN, NY 11234-5890
(646) 610-0135
Mailing address
7239 BERGEN CT, BROOKLYN, NY 11234-5890
(646) 610-0135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86148574
NY
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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