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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA ELLIS, MS, RD

Active Sole Proprietor

SAMANTHA ELLIS, MS, RD is a Registered Dietitian healthcare provider located in WALDEN, New York. NPI 1285044750 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · WALDEN, NY

Registration Details

NPI Number
1285044750
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2014 (12.237647286901 yrs)
Last Updated
May 5, 2014
License
1033283 (NY)
Sole Proprietor
Yes

Practice Information

Address
44 PLEASANT AVE
WALDEN, NY, 125861240
Browse NY providers · Browse ZIP 12586
Phone
8455978128
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in WALDEN, NY

Name Credential NPI
KATHERINE G LYNCH 1235711995
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.