Doctor Name: | JACLYN A KASSOFF |
NPI Number: | 1558643924 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1059289 |
Business Practice Address: | 2053 Bellmore Ave Bellmore, NY - 117105603 |
Business Phone Number: | 5166791110 |
Business Fax Number: | |
Mailing Address: | 844 Preston Rd, EAST MEADOW |
State: | NY |
Postal Code: | 115544531 |
Phone Number: | 5163593689 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2011 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1059289 |
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 |