Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI SIMONTON, RD CDN
Active Sole ProprietorPediatric Nutrition · POUGHKEEPSIE, NY
Registration Details
- NPI Number
- 1801049457
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2008 (17.493132430244 yrs)
- Last Updated
- Oct 28, 2008
- License
-
005062-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
161 ROMBOUT RDPOUGHKEEPSIE, NY, 126036217Browse NY providers · Browse ZIP 12603
- Phone
- 9144743795
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.