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Contact Information

STACEY E SIMON, RD
480 BEDFORD RD STE 3201
CHAPPAQUA, NY10514-1726
 Phone: 603-264-7382
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for STACEY E SIMON · (Female)

NPI Number 1811319098
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 01/08/2014
Last updated 03/19/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 86007711
  • Other 86007711 REGISTERED DIETITIAN
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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