Individual
JENNA BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
15 LEVINE LN UNIT 1501, POUGHKEEPSIE, NY 12603-6468
(203) 505-2101
Mailing address
14 E MEADOW RD, WESTPORT, CT 06880-3011
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012703
NY
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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