Provider Demographics
NPI:1952507337
Name:SYTO, YVONNE QUINONES (MA, RD, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:QUINONES
Last Name:SYTO
Suffix:
Gender:F
Credentials:MA, RD, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BERTHA ST
Mailing Address - Street 2:
Mailing Address - City:STANHOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07874-2318
Mailing Address - Country:US
Mailing Address - Phone:973-600-9993
Mailing Address - Fax:
Practice Address - Street 1:15 BERTHA ST
Practice Address - Street 2:
Practice Address - City:STANHOPE
Practice Address - State:NJ
Practice Address - Zip Code:07874-2318
Practice Address - Country:US
Practice Address - Phone:973-600-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ844682133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered