Jenna Decarlo

NPI #1588476527 in Locust Valley, New York

Provider Information

NPI Number: 1588476527
Entity Type: Individual
Name: Jenna Decarlo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Jan 27, 2025
Last Updated: Jan 27, 2025

Practice Location

Address: 300 FOREST AVE APT 301
City: Locust Valley
State: New York
ZIP Code: 11560-2148
Phone: (516) 669-6653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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