JADE AGRESTA
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1366033896- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 113 HOLLAND AVE, ALBANY, NY, 122083410
- Phone
- (518) 626-6882
Specialties & Taxonomies
Dietitian, Registered
Primary License: NY #007468
Counselor, Mental Health
License: NY #13907
All Addresses
MAILING
113 HOLLAND AVE
ALBANY, NY, 122083410