Jennifer Martin, MS, RD, CDN
Dietitian, Registered in Albany, NY. Individual provider (NPI-1).
NPI number1164053112
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1164053112
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Martin
- Credential
- MS, RD, CDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 009229 | NY | Yes |
Practice location
75 New Scotland AveAlbany, NY 12208-3474
Phone 518-549-6798
Mailing address
75 New Scotland AveAlbany, NY 12208-3474
Phone 518-549-6798
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