Provider Demographics
NPI:1609158138
Name:KANTOR, AYELET (PHD, RD)
Entity Type:Individual
Prefix:DR
First Name:AYELET
Middle Name:
Last Name:KANTOR
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FIELD LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-4618
Mailing Address - Country:US
Mailing Address - Phone:401-935-2594
Mailing Address - Fax:
Practice Address - Street 1:8 FIELD LN
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-4618
Practice Address - Country:US
Practice Address - Phone:401-935-2594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-11
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00695133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered