Individual
MRS. JAIMIE MARISA BORNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, CDN
Contact information
Practice address
6 NORMAN CT, DIX HILLS, NY 11746-5812
(631) 424-4079
Mailing address
6 NORMAN CT, DIX HILLS, NY 11746-5812
(917) 690-7945
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
872924
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872924
CERTIFIED DIETITIAN NUTRITIONIST
NY
Enumeration date
01/23/2009
Last updated
12/16/2011
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