Provider Demographics
NPI:1437466166
Name:KAMLET, STEVEN (RD, CDN)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:KAMLET
Suffix:
Gender:M
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MANETTO HILL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1311
Mailing Address - Country:US
Mailing Address - Phone:516-967-3438
Mailing Address - Fax:516-822-9582
Practice Address - Street 1:100 MANETTO HILL RD
Practice Address - Street 2:SUITE 103
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1311
Practice Address - Country:US
Practice Address - Phone:516-967-3438
Practice Address - Fax:516-822-9582
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005028133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered