Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. YVONNE THEMISTOCLEOUS, MS, RD
Active Sole ProprietorGerontological Nutrition · FLUSHING, NY
Registration Details
- NPI Number
- 1881291219
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2020 (5.5373476821312 yrs)
- Last Updated
- Oct 8, 2020
- License
-
1044740 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3225 190TH STFLUSHING, NY, 113581952Browse NY providers · Browse ZIP 11358
- Phone
- 9176811290
- Primary Specialty
-
Gerontological Nutrition
133VN1101X
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.