Simon, Ilyse A

Simon, Ilyse A is an sole proprietor health care provider with primary practice located at 231 Clinton Ave , Kingston NY 12401-5030. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Simon, Ilyse A can be contacted via phone (845) 331-6381.

Contact Information

Primary practice address
231 Clinton Ave Kingston NY 12401-5030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 006097 New York

Profile Details

NPI number 1487690640
LBN Legal business name Simon, Ilyse A
Credentials RD, CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Apr 25th, 2014 - about 10 years ago

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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