Individual
MRS. EVELYN DURAN - PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
732 SMITHTOWN BYP 103, SMITHTOWN, NY 11787-5020
(631) 265-5545
(631) 265-8042
Mailing address
732 SMITHTOWN BYP STE 103, SMITHTOWN, NY 11787-5020
(631) 265-5545
(631) 265-8042
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
005188-1
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
855320
NY
Other
Enumeration date
04/27/2009
Last updated
04/02/2025
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