Individual
MS. JODI H BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.N.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1067, NEW YORK, NY 10029-6500
(212) 241-2250
Mailing address
792 COLUMBUS AVE, APT. 10T, NEW YORK, NY 10025-5150
(212) 864-8768
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005766
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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