Individual
ILEX CHIH-HENG MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
1645 E 19TH ST, BROOKLYN, NY 11229
(347) 556-7180
Mailing address
450 GOWER ST, STATEN ISLAND, NY 10314-5263
(347) 556-7180
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
006403
NY
133V00000X
Registered Dietitian
Primary
964083
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006403
THE UNIVERSITY OF THE STATE OF NEW YORK; EDUCATION DEPARTMENT
NY
01
—
964083
COMMISSION ON DIETETIC REGISTRATION
IL
Enumeration date
12/14/2011
Last updated
07/13/2018
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