Individual
CELINE E ILEDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDN
Contact information
Practice address
83 MAIDEN LANE 5TH FLOOR, NY, NY 10038-4812
(212) 780-2708
Mailing address
4410 KETCHAM ST, 5A, ELMHURST, NY 11373-3660
(718) 429-6234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
821891
IL
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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