Individual
IGOR KEZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
305 E 104TH ST APT 2E, NEW YORK, NY 10029-5537
(347) 235-2820
Mailing address
305 E 104TH ST APT 2E, NEW YORK, NY 10029-5537
(347) 235-2820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
001724
CT
133V00000X
Registered Dietitian
Primary
009411-01
NY
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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