Jaclyn S Tane, RD
NPI #1063726347 in Roslyn Heights, New York
Provider Information
- NPI Number
- 1063726347
- Entity Type
- Individual
- Name
- Jaclyn S Tane, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nutritionist
- Credential
- RD
- Enumeration Date
- Jul 29, 2010
- Last Updated
- Sep 2, 2011
Practice Location
- Address
- 216 WILLIS AVE
- Address 2
- STE 001
- City
- Roslyn Heights
- State
- New York
- ZIP Code
- 11577-2125
- Phone
- (516) 801-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
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