Individual
MRS. YVONNE THEMISTOCLEOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3225 190TH ST, FLUSHING, NY 11358-1952
(917) 681-1290
Mailing address
3225 190TH ST, FLUSHING, NY 11358-1952
(917) 681-1290
Taxonomy
Speciality
Code
Description
License number
State
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary
1044740
NY
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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