Doctor Name: | JASON ASENCIO |
NPI Number: | 1962827998 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, RD, LDN |
License Number: | 6718 |
Business Practice Address: | 204 N Elm St North Massapequa, NY - 117582519 |
Business Phone Number: | 5168055418 |
Business Fax Number: | |
Mailing Address: | 204 N Elm St, NORTH MASSAPEQUA |
State: | NY |
Postal Code: | 117582519 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/27/2014 |
NPI Last Update Date: | 02/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 6718 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |