Samantha Ellis, MS, RD

NPI #1285044750 in Walden, New York

Provider Information

NPI Number: 1285044750
Entity Type: Individual
Name: Samantha Ellis, MS, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS, RD
Enumeration Date: May 5, 2014
Last Updated: May 5, 2014

Practice Location

Address: 44 PLEASANT AVE
City: Walden
State: New York
ZIP Code: 12586-1240
Phone: (845) 597-8128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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