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1780042309
JESSICA A ACOSTA
FLUSHING, NY
NPI
1780042309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 008352)
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
-- JESSICA A ACOSTA
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-1251
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Mailing Address
-- JESSICA A ACOSTA
1981 MARCUS AVE
NEW HYDE PARK, NY 11042-2060
Phone number: 718-670-1415
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