Individual
JEAN DICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
3347 14TH ST, LONG ISLAND CITY, NY 11106-4677
(718) 217-5274
Mailing address
3347 14TH ST, LONG ISLAND CITY, NY 11106-4677
(718) 217-5274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003312-1
NY
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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