Provider Demographics
NPI:1184106841
Name:JEAN-CHARLES, HEDWIGE (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:HEDWIGE
Middle Name:
Last Name:JEAN-CHARLES
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 ROCKAWAY PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5005
Mailing Address - Country:US
Mailing Address - Phone:347-492-6671
Mailing Address - Fax:
Practice Address - Street 1:1805 ROCKAWAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-5005
Practice Address - Country:US
Practice Address - Phone:347-492-6671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006276133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered