Basic Information
| Provider Information | |||||||||
| NPI: | 1750975926 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHU | ||||||||
| FirstName: | JESSICA | ||||||||
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| Credential: | MS RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 E 77TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100751850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124342000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 E 77TH ST, NEW YORK, NY 10075 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 022151605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124342140 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2021 | ||||||||
| LastUpdateDate: | 04/07/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 86147678 | NY | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.