Individual
JENNIFER R ELIASI-TEICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
10210 66TH RD, 11F, FOREST HILLS, NY 11375-2000
(718) 997-1899
Mailing address
10210 66TH RD, 11F, FOREST HILLS, NY 11375-2000
(718) 997-1899
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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