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Individual
MS. STACEY ELIZABETH SIMON
Active
Individual
MS. STACEY ELIZABETH SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86007711
NY
133V00000X
Registered Dietitian
DT88058
TX
133VN1101X
Gerontological Nutrition Registered Dietitian
86007711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86007711
REGISTERED DIETITIAN
—
Enumeration date
01/08/2014
Last updated
03/19/2026
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