Doctor Name: | JESSICA PEARL |
NPI Number: | 1104288992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CSSD, CDN |
License Number: | 007779 |
Business Practice Address: | 330 E 38th St Apt 17h New York, NY - 100162770 |
Business Phone Number: | 9172612275 |
Business Fax Number: | |
Mailing Address: | 330 E 38th St Apt 17h, NEW YORK |
State: | NY |
Postal Code: | 100162770 |
Phone Number: | 9172612275 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2016 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 007779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |