Mack, Ilene

Mack, Ilene is an individual health care provider with primary practice located at 49 Oakcrest Ave , Middle Island NY 11953-1415. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mack, Ilene can be contacted via phone (516) 697-7383.

Contact Information

Primary practice address
49 Oakcrest Ave Middle Island NY 11953-1415
Phone: (516) 697-7383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 858851 New York

Profile Details

NPI number 1013778489
LBN Legal business name Mack, Ilene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2024
Last updated Jan 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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