Individual
JESSICA A ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1251
(516) 437-4167
Mailing address
1981 MARCUS AVE, NEW HYDE PARK, NY 11042-2060
(718) 670-1415
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008352
NY
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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