Individual
MRS. ELANA AVSHALOMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
123 DORCHESTER RD., SCARSDALE, NY 10583
(914) 874-3063
Mailing address
123 DORCHESTER RD., SCARSDALE, NY 10583
(914) 874-3063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010369
NY
Other
Enumeration date
06/22/2022
Last updated
09/01/2022
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