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Contact Information

STEPHANIE AVILES, CDN
1065 SOUTHERN BLVD
BRONX, NY10459-2417
 Phone: 718-589-2440
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE AVILES · (Female)

NPI Number 1063093698
Status Active
Credentials CDN
Entity Individual
Enumeration date 04/15/2021
Last updated 01/03/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • License # 86055945
  • NY License # 010478-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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