Provider Demographics
NPI:1518459551
Name:JONES, EMILY RUTH (RDN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:RUTH
Last Name:JONES
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 1:355 W 85TH ST APT 38
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3849
Mailing Address - Country:US
Mailing Address - Phone:646-812-3444
Mailing Address - Fax:
Practice Address - Street 1:33 W 19TH ST STE 405
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-4333
Practice Address - Country:US
Practice Address - Phone:888-669-6163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1074812133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered