Provider Demographics
NPI:1740077247
Name:KESSLER, ERICA (RDN)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:
Last Name:KESSLER
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BIRCHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:OLD TAPPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-6843
Mailing Address - Country:US
Mailing Address - Phone:201-787-4907
Mailing Address - Fax:
Practice Address - Street 1:4738 11TH ST APT 8
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5544
Practice Address - Country:US
Practice Address - Phone:201-787-4907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86299638133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered