Individual
MISS MICHELLE A KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D, CDN
Contact information
Practice address
669 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050
(516) 767-3636
(516) 767-9699
Mailing address
664 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050
(516) 767-3636
(516) 767-9699
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
003950-01
NY
133V00000X
Registered Dietitian
Primary
003950-01
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
003950-01
NY
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
003950-01
NY
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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