Individual
JACQUELINE TOPOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
99 W LAKE SHORE DR, ROCKAWAY, NJ 07866-1023
(917) 584-0708
Mailing address
99 W LAKE SHORE DR, ROCKAWAY, NJ 07866-1023
(917) 584-0708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48007686
NY
Other
Enumeration date
05/20/2013
Last updated
08/07/2020
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