Individual
MRS. JAMIE A PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
11129 76TH DR, FOREST HILLS, NY 11375-7005
(646) 220-6019
Mailing address
11129 76TH DR, FOREST HILLS, NY 11375-7005
(646) 220-6019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007570
NY
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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