Icilda Douse in Brooklyn - Dietitian, Registered
Icilda Douse - NPI 1932304243
Icilda Douse is a Dietitian, Registered in Brooklyn, New York. Icilda Douse practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Icilda Douse is 1932304243. The last update date is 2007-07-08.
Icilda Douse's current location address is 585 Schenectady Ave, Brooklyn, New York. You can contact this provider via phone number 7186045741 and fax number 7186046742. The mailing address for Icilda Douse is 585 Schenectady Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Icilda Douse |
|---|---|
| Address | 585 Schenectady Ave, Brooklyn, New York |
| Phone Number | 7186045741 |
| Fax Number | 7186046742 |
| Sole Proprietor | N |
| Credentials | R,D |
NPI Number Detail
| NPI Number | 1932304243 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 585 Schenectady Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112031822 |
| Phone Number | 7186045741 |
| Fax Number | 7186046742 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | R509890 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R509890 | NY | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Icilda Douse by the Centers for Medicare & Medicaid Services?
The Icilda Douse has been assigned the NPI (National Provider Identifier) 1932304243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Icilda Douse?
The Icilda Douse is situated at 585 Schenectady Ave, in the city of Brooklyn, state of NY, with the zip code 112031822.
What is the Icilda Douse's specialty and taxonomy code?
The Icilda Douse's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932304243 to Icilda Douse?
The Centers for Medicare & Medicaid Services originally issued the 1932304243 to Icilda Douse on 2007-06-18.
When was the information related to Icilda Douse most recently updated or refreshed?
The details pertaining to the Icilda Douse, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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