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Individual

JAIMIE RAVIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
9 BOOTH LN, LEVITTOWN, NY 11756-1805
(516) 816-4200
Mailing address
9 BOOTH LN, LEVITTOWN, NY 11756-1805

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86012010
NY
133V00000X
Registered Dietitian
Primary
86012010

Other

Enumeration date
05/06/2020
Last updated
01/24/2022
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