Individual
DENISE LYNNE DONALDSON KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, MS,RD, CDN
Contact information
Practice address
8 ROSS ST, PORT JEFFERSON STATION, NY 11776-3708
(631) 828-1158
Mailing address
8 ROSS ST, PORT JEFFERSON STATION, NY 11776-3708
(631) 828-1158
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
004998-1
NY
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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