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Mrs. Jacqueline E Martin, MS,RD,CDN
Pediatric Nutrition Registered Dietitian in Massapequa Park, New York
NPI 1114208089

Jacqueline E Martin is a Pediatric Nutrition Registered Dietitian based in Massapequa Park, NY and is specialized in Nutrition, Pediatric. Jacqueline E Martin practices in Massapequa Park, NY and has the professional credentials of MS,RD,CDN. The NPI Number for Jacqueline E Martin is 1114208089 and holds a License No. 006357 (New York).

The current practice location address for Jacqueline E Martin is 13 Avenue Louise, Massapequa Park, NY and can be reached out via phone at 516-236-3984.

Location: 13 Avenue Louise, Massapequa Park, NY, 11762-3207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114208089
Provider Name
Jacqueline E Martin
Credential
MS,RD,CDN
Provider Entity Type
Individual
Gender
Female
Address
13 Avenue Louise, Massapequa Park, NY, 11762-3207
Phone Number
516-236-3984
Fax Number
Provider Enumeration Date
09/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13 Avenue Louise
City
Massapequa Park
State
New York
Zip
11762-3207
Phone Number
516-236-3984
Fax Number
person
Provider Business Mailing Address Details
Address
13 Avenue Louise
City
Massapequa Park
State
New York
Zip
11762-3207
Phone Number
516-236-3984
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
006357 (New York)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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