Individual
JESSICA ARIEL LEBOVITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CNSC
Contact information
Practice address
186 MAYTIME DR, JERICHO, NY 11753-2251
(516) 640-2946
(877) 819-2427
Mailing address
186 MAYTIME DR, JERICHO, NY 11753-2251
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86030776
NY
Other
Enumeration date
10/24/2017
Last updated
02/24/2022
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