Individual
ILANA YAEL LICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD MNT
Contact information
Practice address
39 WILLOW ROAD, WOODMERE, NY 11598
(516) 374-1928
Mailing address
39 WILLOW ROAD, WOODMERE, NY 11598
(516) 374-1928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005033
NY
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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