Provider Demographics
NPI:1326817909
Name:MEIZLIK, ESTHER MALKA (RDN)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:MALKA
Last Name:MEIZLIK
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SOPHIA ST
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2012
Mailing Address - Country:US
Mailing Address - Phone:845-392-2077
Mailing Address - Fax:
Practice Address - Street 1:18 SOPHIA ST
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2012
Practice Address - Country:US
Practice Address - Phone:845-392-2077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered