Individual provider · Type 1 NPI
Jacqueline E. Martin, MS, RD, CDN
Pediatric Nutrition Registered Dietitian · Massapequa Park, NY
Practice location
13 Avenue Louise
Massapequa Park, NY 11762-3207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nutrition Registered Dietitian Primary | 133VN1004X | 006357 (NY) |
Pediatric Nutrition Registered Dietitian: 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, educatio…
About NPI 1114208089
Jacqueline E. Martin, MS, RD, CDN's National Provider Identifier is 1114208089, issued on Sep 6, 2011. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Massapequa Park, NY. The record was last updated on Sep 6, 2011.